Bill To:


Gene Fleming
182 Forest Ridge Rd
Zavalla, TX 75980

Services Rendered To:


Gene Fleming
182 Forest Ridge Rd
Zavalla, TX 75980
POLICY# PIC51206


*** YOUR INSURANCE COMPANY HAS SENT YOU PAYMENT FOR FIRE DEPARTMENT SERVICES. PLEASE REMIT THAT PAYMENT TO OUR OFFICE. ***

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

    $500.00
    1
    $500.00

  2. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 182 Forest Ridge Rd-Zavalla, TX

Subtotal $500.00
Total Due $500.00


Updated
October 12, 2022 @ 3:15 pm

Invoice updated by Geoffrey.

Status Update
October 12, 2022 @ 3:15 pm

Status changed: Draft to Pending.

Updated
May 3, 2023 @ 10:08 am

Invoice updated by Geoffrey.

Updated
May 3, 2023 @ 10:09 am

Invoice updated by Geoffrey.