Bill To:


KENTUCKY FARM BUREAU MUTUAL
9201 BUNSEN PARKWAY
LOUISVILLE, KY 40220-3792

Services Rendered To:


Chad Faulkner
128 S. High Street
Burkesville, Y 42717
Policy # 0020997356


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

    $350.00
    1
    $350.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 13951 Burkesville Road - Breeding, Kentucky

Subtotal $1,265.00
Total Due $1,265.00


Updated
April 13, 2022 @ 8:19 pm

Invoice updated by Geoffrey.

Status Update
April 13, 2022 @ 8:19 pm

Status changed: Draft to Pending.