Bill To:


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

Services Rendered To:


Letecia Walton
157 Connie St
Camp Hill, AL 36850
POLICY# 01-CA-C905-3


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

    $350.00
    1
    $350.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  4. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  5. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00

  6. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 157 Connie St Camp Hill, AL 36850

Subtotal $750.00
Total Due $750.00


Updated
June 13, 2023 @ 11:17 am

Invoice updated by Geoffrey.

Status Update
June 13, 2023 @ 11:17 am

Status changed: Draft to Pending.