Bill To:


Standard Fire Insurance Co
One Tower Sq.
Hartford, CT 06183

Services Rendered To:


Celeste Nunnally
120 Robinson St
Thorsby, AL 35171
POLICY# 6111414762031

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-01-403-23-130 02/03/2023 02/06/2023 On Receipt Jemison FD

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

    $350.00
    1.5
    $525.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00
  3. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  4. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  5. 304 SCBA Cylinder (# Used)

    $25.00
    4
    $100.00

  6. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 120 Robinson St Thorsby, AL 35171

Subtotal $1,380.00
Total Due $1,380.00


Updated
February 6, 2023 @ 2:15 pm

Invoice updated by Geoffrey.

Status Update
February 6, 2023 @ 2:15 pm

Status changed: Draft to Pending.