Bill To:


ENCOMPASS INSURANCE
PO BOX 1623
Winston-Salem, NC 27102-1623

Services Rendered To:


Belinda Herring
4317 Hide A Way Dr
Guntersville, AL 35976
POLICY# 000000282107693

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-50-022-22-1529-B 12/11/2022 12/13/2022 On Receipt Alder Springs FD

Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00
  2. 331 Air Bags (# Used)

    $150.00
    1
    $150.00
  3. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  5. 404 Scene Lighting (Per Hour)

    $75.00
    1.5
    $112.50
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hustleville Rd & Rice Mill Chaviers- Albertville, AL

Subtotal $974.50
Total Due $974.50

Second Notice


Updated
December 13, 2022 @ 12:04 pm

Invoice updated by Geoffrey.

Viewed
January 26, 2023 @ 12:28 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.

Viewed
January 26, 2023 @ 12:40 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.

Updated
February 2, 2023 @ 11:11 am

Invoice updated by Geoffrey.

Updated
April 1, 2024 @ 4:31 pm

Invoice updated by Karen Smith.

Viewed
April 1, 2024 @ 4:31 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.