Bill To:


Farmers Insurance
PO Box 268993
Oklahoma City, OK 73126

Services Rendered To:


Kay and Tommie Hodge
62 CR 3219
Atlanta, Texas 75551


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

    $350.00
    2.5
    $875.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    2.5
    $750.00
  3. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00
  4. 318 Ladder (# Used)

    $35.00
    1
    $35.00

  5. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 62 CR 3219 Atlanta, Texas 75551

Subtotal $1,720.00
Total Due $1,720.00
Updated
November 5, 2019 @ 3:12 pm

Invoice updated by Karen Smith.

Status Update
November 5, 2019 @ 3:12 pm

Status changed: Draft to Pending.

Updated
November 5, 2019 @ 3:19 pm

Invoice updated by Karen Smith.

Updated
November 5, 2019 @ 3:28 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 1:11 pm

Invoice updated by Karen Smith.