Bill To:


Berry Brush

Services Rendered To:


Tyler Wilson
2270 FM 54
Peterburg, TX 79250
POLICY# ZQ6031


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

    $0.00
    1
    $0.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00
  3. 102 Engine Response (Per Hour)

    $0.00
    1
    $0.00
  4. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  5. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  6. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 67/167 MM 79- Newport, AR

Subtotal $390.00
Total Due $390.00


Updated
October 3, 2023 @ 10:53 am

Invoice updated by Geoffrey.

Status Update
October 3, 2023 @ 10:53 am

Status changed: Draft to Pending.

Updated
October 12, 2023 @ 12:36 pm

Invoice updated by Geoffrey.