Bill To:


Steven Blossom
200 South Amherst
West Columbia, TX 77486

Services Rendered To:


Steven Blossom
200 South Amherst
West Columbia, Texas 77486


*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

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

    $350.00
    4
    $1,400.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    4
    $600.00
  3. 102 Engine Response (Per Hour)

    $350.00
    4
    $1,400.00
  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    4
    $600.00
  5. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    2
    $200.00
  6. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  7. 301 Hand Tool (# Used)

    $15.00
    5
    $75.00
  8. 311 PPV / Ventilation Fan (# Used)

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

    $50.00
    10
    $500.00
  10. 304 SCBA Cylinder (# Used)

    $25.00
    15
    $375.00
  11. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    4
    $400.00
  12. 306 Hose Per 50′ (Amt Used)

    $25.00
    12
    $300.00

  13. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 200 South Amherst - West Columbia, Texas 77486

Subtotal $5,935.00
Total Due $5,935.00
Status Update
October 26, 2020 @ 2:08 pm

Status changed: Pending to Paid.

Updated
October 26, 2020 @ 2:08 pm

Invoice updated by Geoffrey.

Status Update
October 26, 2020 @ 2:08 pm

Status changed: Draft to Pending.

Updated
October 26, 2020 @ 2:23 pm

Invoice updated by Geoffrey.

Status Update
October 26, 2020 @ 2:23 pm

Status changed: Paid to Pending.

Updated
October 26, 2020 @ 2:23 pm

Invoice updated by Geoffrey.

Viewed
October 22, 2022 @ 8:23 pm

Invoice viewed by 64.124.8.32 for the first time.

Viewed
November 10, 2023 @ 1:17 am

Invoice viewed by 184.160.76.59 for the first time.