Bill To:


Allstate Insurance Company
PO Box 660598
Dallas, TX 75266-0598

Services Rendered To:


Doris Faye Carter
Policy# N/A

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-BY205-2018-1009 10/09/2018 08/26/2019 On Receipt Douglassville Volunteer Fire Department

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

    $350.00
    4.25
    $1,487.50
  2. 103 Rescue Response (Per Hour)

    $300.00
    4.25
    $1,275.00
  3. 205 Foam (Per Gallon)

    $65.00
    2
    $130.00
  4. 302 Hand Light (# Used)

    $5.00
    2
    $10.00
  5. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  7. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  8. 409 Manpower (Per Hour)

    $20.00
    15
    $300.00

  9. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 3372 County Rd. Marietta, TX 75566

Subtotal $3,317.50
Total Due $3,317.50
Updated
August 25, 2019 @ 1:36 am

Invoice updated by Karen Smith.

Status Update
August 25, 2019 @ 1:36 am

Status changed: Draft to Pending.

Updated
August 25, 2019 @ 7:50 pm

Invoice updated by Karen Smith.

Viewed
July 4, 2024 @ 12:37 am

Invoice viewed by 8.219.196.178 for the first time.