Bill To:


Austin County Farmers Mutual Fire
16836 Fordtran Blvd.
P.O. Box 208
Industry, TX 78944

Services Rendered To:


Mona & Billy Norris
11318 Reinecker Road
Orchard, Texas 77464
Policy # P268


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

    $350.00
    3
    $1,050.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    3
    $900.00
  3. 103 Rescue Response (Per Hour)

    $300.00
    3
    $900.00
  4. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  5. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00
  6. 402 Fire/Police Services (Per Hour)    

    $100.00
    3
    $300.00
  7. 319 Generator (Per Generator/Per Hour)

    $50.00
    3
    $150.00
  8. 318 Ladder (# Used)

    $35.00
    4
    $140.00
  9. 301 Hand Tool (# Used)

    $15.00
    8
    $120.00
  10. 309 Power Tool (# Used)

    $50.00
    3
    $150.00
  11. 320 Portable Pond (# Used)

    $150.00
    1
    $150.00
  12. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  13. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    10
    $500.00
  14. 207 Wetting Agent (Amt Used)

    $25.00
    1
    $25.00
  15. 306 Hose Per 50′ (Amt Used)

    $25.00
    12
    $300.00
  16. 503 ** Damaged / Destroyed Equipment **

    4 Fire Hoses Destroyed 1 3/4 hose –  $200.00 ea

    $200.00
    4
    $800.00
  17. 503 ** Damaged / Destroyed Equipment **

    Bunker Gear damaged by fire – Replacement Set  $2500.00

    $2,500.00
    1
    $2,500.00

  18. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 11318 Reinecker Road Orchard, Texas 77464

Subtotal $8,135.00
Total Due $8,135.00


Updated
March 4, 2021 @ 4:29 pm

Invoice updated by Geoffrey.

Status Update
March 4, 2021 @ 4:29 pm

Status changed: Draft to Pending.

Updated
March 4, 2021 @ 4:34 pm

Invoice updated by Geoffrey.

Updated
March 4, 2021 @ 4:57 pm

Invoice updated by Geoffrey.