Bill To:


STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:


Shirley Kemp
127 CR 149
Gainesville, TX 76240
POLICY # 72-C8-G825-7


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    3.25
    $487.50
  2. 104 Tanker Response (Per Hour)

    $300.00
    3.25
    $975.00
  3. 102 Engine Response (Per Hour)

    $350.00
    3.25
    $1,137.50
  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    3.25
    $487.50
  5. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    100
    $25.00
  6. 402 Fire/Police Services (Per Hour)    

    $100.00
    3.25
    $325.00
  7. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  8. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  9. 301 Hand Tool (# Used)

    $15.00
    20
    $300.00
  10. 320 Portable Pond (# Used)

    $150.00
    1
    $150.00
  11. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  12. 304 SCBA Cylinder (# Used)

    $25.00
    10
    $250.00
  13. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    5
    $250.00
  14. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    3.25
    $325.00
  15. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00
  16. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

  17. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 127 CR 149 Gainesville, TX 76240

Subtotal $5,097.50
Total Due $5,097.50


Updated
May 24, 2022 @ 3:27 pm

Invoice updated by Geoffrey.

Status Update
May 24, 2022 @ 3:27 pm

Status changed: Draft to Pending.