Bill To:


Ingram Grading & Paving
1767 Griffin Shoals Rd
Dadeville, AL 36853

Services Rendered To:


Gary Ingram
1767 Griffin Shoals Rd
Dadeville, AL 36853
POLICY# A0177820001

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-01-717-23-3034 08/24/2023 08/25/2023 On Receipt Tri Community VFD

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

    $500.00
    3
    $1,500.00
  2. 316 Cribbing – Lvl 3 (Class A Truck) (Used)

    $500.00
    1
    $500.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  6. 301 Hand Tool (# Used)

    $15.00
    5
    $75.00
  7. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  8. 419 Environmental Spill

    $250.00
    1
    $250.00
  9. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    3
    $300.00
  10. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00
  11. 317 Rescue Struts (# Used)

    $50.00
    2
    $100.00
  12. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  13. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 70644 Hwy 9- Goodwater, AL

Subtotal $3,367.00
Total Due $3,367.00


Updated
August 25, 2023 @ 12:02 pm

Invoice updated by Geoffrey.

Status Update
August 25, 2023 @ 12:02 pm

Status changed: Draft to Pending.

Updated
December 12, 2023 @ 3:14 pm

Invoice updated by Geoffrey.

Viewed
July 22, 2024 @ 5:25 am

Invoice viewed by 173.252.107.116 for the first time.