Bill To:


Ervin Angst
26188 Montauk Drive #1
Lebanon, MO 65563

Services Rendered To:


Ervin Angst
26188 Montauk Drive # 1
Lebanon MO 65563

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
MO-05-307-22-85 06/18/2022 02/28/2023 On Receipt Eldridge V.F.D.

*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

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

    $350.00
    7.25
    $2,537.50
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    7.25
    $1,087.50

  3. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 16068 Highway East Eldridge - Eldridge, MO

Subtotal $3,625.00
Total Due $3,625.00


Updated
July 20, 2022 @ 5:00 pm

Invoice updated by Geoffrey.

Status Update
July 20, 2022 @ 5:00 pm

Status changed: Draft to Pending.

Updated
February 28, 2023 @ 2:06 pm

Invoice updated by Sherryf.

Viewed
February 28, 2023 @ 2:06 pm

Invoice viewed by Sherry Fels (Sherryf) for the first time.