Bill To:


Direct Insurance
1281 Murfreesboro Pike
Nashville, TN 37217

Services Rendered To:


VIN# 1VWCM7A32CC022892
POLICY# 2013086557

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AR-34-008-23-59 11/19/2023 12/05/2023 On Receipt Erwin VFD

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

    $500.00
    1
    $500.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  3. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: HWY 37- Beedville, AR

Subtotal $1,550.00
Total Due $1,550.00


Updated
December 5, 2023 @ 2:49 pm

Invoice updated by Geoffrey.

Status Update
December 5, 2023 @ 2:49 pm

Status changed: Draft to Pending.