Bill To:


Acceptance Insurance
P.O. Box 150769
Nashville, TN 37215

Services Rendered To:


Thomas Chestang
93 Powell Rd
Albertville, AL 35951
POLICY# HUGO-93396

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-05-008-23-3560 04/25/2023 06/19/2023 On Receipt Beulah VFD

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

    $350.00
    2
    $700.00
  2. 102 Engine Response (Per Hour)

    $350.00
    2
    $700.00
  3. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00
  5. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 93 Powell Rd Albertville, AL 35951

Subtotal $1,975.00
Total Due $1,975.00


Updated
June 19, 2023 @ 3:15 pm

Invoice updated by Geoffrey.

Status Update
June 19, 2023 @ 3:15 pm

Status changed: Draft to Pending.

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March 29, 2024 @ 10:07 pm

Invoice viewed by 66.249.72.4 for the first time.

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March 30, 2024 @ 8:01 am

Invoice viewed by 66.249.72.5 for the first time.