Bill To:


METROPOLITAN INSURANCE COMPANY
PO BOX 66969
ST LOUIS, MO 63166-6969

Services Rendered To:


John Holland
104 Lyndsey court
Boyd, Texas 76023
Policy # A2332731670

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-WB206-2018-236 03/13/2018 11/14/2019 On Receipt Briar - Reno Fire Department

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

    E #249

    $350.00
    1
    $350.00
  2. 105 Utility Vehicle Response (Per Hour)

    SQD #49

    $150.00
    1
    $150.00
  3. 104 Tanker Response (Per Hour)

    T #52

    $300.00
    1
    $300.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 730 and Reed Road Reno Texas

Subtotal $800.00
Total Due $800.00
Updated
November 16, 2019 @ 8:20 pm

Invoice updated by Karen Smith.

Status Update
November 16, 2019 @ 8:20 pm

Status changed: Draft to Pending.

Viewed
October 22, 2022 @ 8:45 am

Invoice viewed by 64.124.8.31 for the first time.