Bill To:


Five Star Electric
10300 SE 29th St
Oklahoma City, OK 73130
US

Services Rendered To:


5 Star
10300 SE 29th St
OK
POLICY# BAP 0185820

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-201-23-15085 06/13/2023 08/21/2023 On Receipt Angus Vol. Fire Department

*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00
  3. 104 Tanker Response (Per Hour)

    $400.00
    1
    $400.00
  4. 205 Foam (Per Gallon)

    $65.00
    2
    $130.00
  5. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    4
    $100.00
  9. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 200 Fm 739- Angus, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,610.00
Total Due $1,610.00


Updated
August 21, 2023 @ 11:11 am

Invoice updated by Geoffrey.

Status Update
August 21, 2023 @ 11:11 am

Status changed: Draft to Pending.

Updated
December 19, 2023 @ 1:38 pm

Invoice updated by Geoffrey.