Bill To:


NEXT Insurance
P.O. Box 60787
Palo Alto, CA 94306

Services Rendered To:


Erik Bickler
9991 Highway East
Eldridge, MO 65463
POLICY # NXTFCO5XUF-01-CA


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

    $350.00
    1.75
    $612.50
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.75
    $262.50
  3. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    5
    $250.00
  4. 304 SCBA Cylinder (# Used)

    $25.00
    5
    $125.00
  5. 404 Scene Lighting (Per Hour)

    $75.00
    1.75
    $131.25
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00
  7. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00

  8. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 10700 Highway East - Eldridge, MO

Subtotal $1,706.25
Total Due $1,706.25


Updated
September 6, 2022 @ 6:28 pm

Invoice updated by Geoffrey.

Status Update
September 6, 2022 @ 6:28 pm

Status changed: Draft to Pending.