Bill To:


National Lloyds Insurance Company
P.O. Box 130059
Dallas, TX 75313

Services Rendered To:


Lula Skidmore
513 CR 1145
Atlanta, TX 75551


Product
Price
Qty
Amount
  1. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  2. 302 Hand Light (# Used)

    $5.00
    1
    $5.00
  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  4. 102 Engine Response (Per Hour)

    $350.00
    2.5
    $875.00
  5. 103 Rescue Response (Per Hour)

    $300.00
    2.5
    $750.00

  6. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 513 CR 1145- Atlanta, TX 75551

Subtotal $1,710.00
Total Due $1,710.00


Updated
October 17, 2022 @ 2:55 pm

Invoice updated by Geoffrey.

Status Update
October 17, 2022 @ 2:55 pm

Status changed: Draft to Pending.