Bill To:


USAA
9800 Fredericksburg Rd.
San Antonio, TX 78288

Services Rendered To:


Aaron Thomas
12935 Liberty School Road
Azle, Texas 76020
Policy # CIC-21135808918

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-WB-440-2020-1017 11/13/2020 12/10/2020 On Receipt Briar-Reno Fire Department

Product
Price
Qty
Amount
  1. 104 Tanker Response (Per Hour)

    $300.00
    2.25
    $675.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2.25
    $337.50
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2.25
    $337.50
  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2.25
    $337.50
  5. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2.25
    $337.50
  6. 309 Power Tool (# Used)

    $50.00
    3
    $150.00
  7. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    100
    $25.00
  8. 306 Gas/Co Detector (# Used)

    $50.00
    1
    $50.00
  9. 319 Generator (Per Generator/Per Hour)

    $50.00
    1
    $50.00
  10. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  11. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  12. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00
  13. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  14. 211 Salvage Cover (Amt Used)           

    $35.00
    1
    $35.00
  15. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  16. 304 SCBA Cylinder (# Used)

    $25.00
    4
    $100.00
  17. 404 Scene Lighting (Per Hour)

    $75.00
    2.25
    $168.75
  18. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00
  19. 302 Hand Light (# Used)

    $5.00
    5
    $25.00
  20. 322 Turn Out Gear / PPE (Per FireFighter)

    $250.00
    4
    $1,000.00

  21. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 12935 Liberty School Road Azle, Texas 76020

    Ordinance Info: Briar-Reno Fire Department - Bylaws Authorization for Cost Recovery

Subtotal $4,223.75
Total Due $4,223.75
Updated
December 9, 2020 @ 1:51 pm

Invoice updated by Geoffrey.

Status Update
December 9, 2020 @ 1:51 pm

Status changed: Draft to Pending.

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August 4, 2021 @ 1:02 pm

Invoice viewed by Karen Smith (KarenS) for the first time.

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October 25, 2022 @ 7:20 am

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