Bill To:


ALLSTATE INSURANCE
3075 SANDERS ROAD - SUITE H1A
NORTHBROOK, IL 60062-7127

Services Rendered To:


Melva Jones
224 Clark Rd
Huntington, TX 75949

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AC-409-23-83 06/27/2023 07/14/2023 On Receipt City of Huntington VFD

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

    $500.00
    3.75
    $1,875.00
  2. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  3. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  4. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  5. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    1
    $50.00
  6. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00
  7. 306 Hose Per 50′ (Amt Used)

    $25.00
    8
    $200.00
  8. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  9. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 224 Clark Rd Huntington, TX 75949

    Ordinance Info: City of Huntington VFD Resolution, Angelina County, Texas

Subtotal $2,540.00
Total Due $2,540.00


Updated
July 14, 2023 @ 12:06 pm

Invoice updated by Geoffrey.

Status Update
July 14, 2023 @ 12:06 pm

Status changed: Draft to Pending.