Bill To:


Cliffard & Kristina Berry
13357 Hwy E
Eldridge, MO 65463

Services Rendered To:


Cliffard & Kristina Berry
13357 Hwy E
Eldridge, MO 65463

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
MO-05-307-22-93 07/11/2022 05/08/2023 On Receipt Eldridge V.F.D.

*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

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

    $350.00
    4.5
    $1,575.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    4.5
    $1,350.00
  3. 102 Engine Response (Per Hour)

    $350.00
    4.5
    $1,575.00
  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    4.5
    $675.00

  5. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 13357 Hwy E Eldridge, MO 65463

Subtotal $5,175.00
Total Due $5,175.00


Updated
May 8, 2023 @ 10:35 am

Invoice updated by Geoffrey.

Status Update
May 8, 2023 @ 10:35 am

Status changed: Draft to Pending.