Bill To:


FARM BUREAU INSURANCE
5400 UNIVERSITY AVENUE
WEST DES MOINES, IA 50266-5997

Services Rendered To:


Angel Walden
128 Cedar Hill Drive
Whitney, TX 76692
Policy # Not Available on Scene


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

    $350.00
    5.25
    $1,837.50
  2. 104 Tanker Response (Per Hour)

    $300.00
    5.25
    $1,575.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    5.25
    $787.50
  4. 301 Hand Tool (# Used)

    $15.00
    5
    $75.00
  5. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  6. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00
  7. 306 Hose Per 50′ (Amt Used)

    $25.00
    10
    $250.00
  8. 506 Food / Drinks for Standby

    $25.00
    1
    $25.00

  9. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 128 Cedar Hill Drive Whitney, TX 76692

Subtotal $4,700.00
Total Due $4,700.00


Updated
March 14, 2022 @ 2:39 pm

Invoice updated by Geoffrey.

Status Update
March 14, 2022 @ 2:39 pm

Status changed: Draft to Pending.