Bill To:


Nationwide Insurance
One Nationwide Plaza
Columbus, OH 43215-2220

Services Rendered To:


Sarah Bueno
141 Ron Boyett
White Oak, TX 75693
POLICY# 7842J172298


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

    $200.00
    1.75
    $350.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.75
    $437.50
  3. 102 Engine Response (Per Hour)

    $500.00
    1.75
    $875.00
  4. 102 Engine Response (Per Hour)

    $500.00
    1.75
    $875.00
  5. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    2
    $200.00
  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  7. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  8. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  9. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    3
    $150.00
  10. 304 SCBA Cylinder (# Used)

    $25.00
    3
    $75.00
  11. 404 Scene Lighting (Per Hour)

    $75.00
    1.75
    $131.25
  12. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  13. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 141 Ron Boyett White Oak, TX 75693

    Ordinance Info: City of White Oak Ordinance 2021-02

Subtotal $3,248.75
Total Due $3,248.75


Updated
July 18, 2023 @ 11:48 am

Invoice updated by Geoffrey.

Status Update
July 18, 2023 @ 11:48 am

Status changed: Draft to Pending.