Bill To:


Chubb National Insurance Co
15 Mountain View Road
Warren, NJ 07059

Services Rendered To:


Newly Peyrot
14680 S Hwy 377
Madill, OK 73446
POLICY# 6722502


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

    $500.00
    1.5
    $750.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1.5
    $300.00
  3. 205 Foam (Per Gallon)

    $65.00
    2
    $130.00
  4. 306 Hose Per 50′ (Amt Used)

    $25.00
    4
    $100.00
  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  6. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: West End of CR 110- Gainesville, TX

    Ordinance Info: City Of Callisburg Resolution

Subtotal $1,530.00
Total Due $1,530.00


Updated
October 30, 2023 @ 10:28 am

Invoice updated by Geoffrey.

Status Update
October 30, 2023 @ 10:29 am

Status changed: Draft to Pending.