Bill To:


Liberty Mutual Insurance
175 Berkeley Street
Boston, MA 02116

Services Rendered To:


Daniel Decker
1913 N Steven Dr
Hobbs, NM 88240
POLICY# AOV29197407445


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

    $500.00
    1
    $500.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  3. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 216 Oxygen (# Used)

    $25.00
    1
    $25.00
  6. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  7. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  8. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00
  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    4
    $100.00
  10. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  11. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 108A East Ward St- White Oak, TX

    Ordinance Info: City of White Oak Ordinance 2021-02

Subtotal $1,805.00
Total Due $1,805.00


Updated
August 8, 2023 @ 11:38 am

Invoice updated by Geoffrey.

Status Update
August 8, 2023 @ 11:38 am

Status changed: Draft to Pending.