Bill To:


NATIONAL GENERAL INSURANCE
PO BOX 3199
WINSTON SALEM, NC 27102-3199

Services Rendered To:


Zapeta Lopez
1104 Lawrence St
Russellville, AL 35654
POLICY# 2006197396

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-02-006-24-77 03/18/2024 03/19/2024 On Receipt Littleville VFD

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

    $500.00
    1
    $500.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    1
    $400.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Lakeview Ln & George Wallace Hwy- Russellville, AL

    Ordinance Info: Littleville FD Billing Resolution

Subtotal $1,350.00
Total Due $1,350.00


Updated
March 19, 2024 @ 10:20 am

Invoice updated by Geoffrey.

Status Update
March 19, 2024 @ 10:20 am

Status changed: Draft to Pending.

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