Bill To:


American Modern Insurance Group
PO Box 5323
Cincinnati, OH 45201-5323

Services Rendered To:


David Gray
120 Robinson St
Thorsby, AL 35171


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

    $350.00
    1.5
    $525.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00
  3. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  6. 304 SCBA Cylinder (# Used)

    $25.00
    4
    $100.00
  7. 404 Scene Lighting (Per Hour)

    $75.00
    1.5
    $112.50
  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    8
    $200.00

  9. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 120 Robinson St Thorsby, AL 35171

Subtotal $1,792.50
Total Due $1,792.50


Updated
February 6, 2023 @ 2:21 pm

Invoice updated by Geoffrey.

Status Update
February 6, 2023 @ 2:21 pm

Status changed: Draft to Pending.