Bill To:


Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


Diane Tilley
5324 FM 413
Kosse, TX 76653
POLICY# 0158656


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

    $350.00
    6.5
    $2,275.00
  2. 102 Engine Response (Per Hour)

    $350.00
    6.5
    $2,275.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    6.5
    $975.00
  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    6.5
    $975.00
  5. 205 Foam (Per Gallon)

    $65.00
    40
    $2,600.00
  6. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00

  7. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 5324 FM 413 Kosse, TX 76653

Subtotal $9,160.00
Total Due $9,160.00


Updated
October 31, 2022 @ 2:58 pm

Invoice updated by Geoffrey.

Status Update
October 31, 2022 @ 2:58 pm

Status changed: Draft to Pending.