Bill To:


Columbia Lloyds Insurance Company
2200 West Alabama, Suite 210
Houston, TX 77098

Services Rendered To:


Mark and Renea Nunn
P.O. Box 64
Douglassville, Texas 75560
Policy # TXPH256016-19


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

    Engine 1

    $350.00
    1.5
    $525.00
  2. 104 Tanker Response (Per Hour)

    Brush 1

    $300.00
    1.5
    $450.00
  3. 103 Rescue Response (Per Hour)

    Rescue 1

    $300.00
    1.5
    $450.00
  4. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  5. 302 Hand Light (# Used)

    $5.00
    1
    $5.00
  6. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  7. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  8. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    1
    $50.00
  9. 304 SCBA Cylinder (# Used)

    $25.00
    1
    $25.00

  10. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 323 West Street- Douglassville, Texas 75560

Subtotal $1,635.00
Total Due $1,635.00
Updated
April 7, 2020 @ 5:07 pm

Invoice updated by Karen Smith.

Status Update
April 7, 2020 @ 5:07 pm

Status changed: Draft to Pending.

Updated
June 1, 2020 @ 5:11 pm

Invoice updated by Karen Smith.

Updated
June 1, 2020 @ 5:15 pm

Invoice updated by Karen Smith.

Viewed
May 23, 2024 @ 2:40 pm

Invoice viewed by 4.236.83.162 for the first time.