Bill To:


UNIVERSAL PROPERTY & CASUALTY
1110 WEST COMMERCIAL BLVD
FORT LAUDERDALE, FL 33309-3749

Services Rendered To:


Michael Moran
2755 Shade Tree Lane
Ponce De Leon, FL 32455
Policy # 1501-1501-9975

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
FL-51-061-2021-66 05/22/2021 06/01/2021 On Receipt Ponce De Leon Fire and Rescue

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

    $350.00
    2.75
    $962.50
  2. 104 Tanker Response (Per Hour)

    $300.00
    2.75
    $825.00
  3. 409 Manpower (Per Hour)

    8 firefighters x 2.75 Hours each

    $50.00
    22
    $1,100.00
  4. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  5. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  6. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00
  7. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    6
    $300.00
  8. 304 SCBA Cylinder (# Used)

    $25.00
    6
    $150.00
  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    15
    $375.00
  10. 302 Hand Light (# Used)

    $5.00
    2
    $10.00

  11. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 2755 Shade Tree Lane Ponce De Leon, FL 32455

Subtotal $3,917.50
Total Due $3,917.50


Updated
May 30, 2021 @ 1:28 pm

Invoice updated by Geoffrey.

Status Update
May 30, 2021 @ 1:28 pm

Status changed: Draft to Pending.

Viewed
October 22, 2022 @ 2:59 pm

Invoice viewed by 64.124.8.25 for the first time.