Bill To:


Joe Dampier
16877 Laurel Rd
Eldridge, MO 65463

Services Rendered To:


Joe Dampier
16877 Laurel Rd
Eldridge, MO 65463

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
MO-05-307-23-93 06/06/2023 06/26/2023 On Receipt Eldridge V.F.D.

*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 207 Wetting Agent (Amt Used)

    $25.00
    4
    $100.00

  3. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 16877 Laurel Rd Eldridge, MO 65463

Subtotal $250.00
Total Due $250.00


Updated
June 26, 2023 @ 11:18 am

Invoice updated by Geoffrey.

Status Update
June 26, 2023 @ 11:18 am

Status changed: Draft to Pending.