Bill To:


STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:


Diamantina Salazar
14704 FM 1489
Orchard, Texas 77464
Policy # 83-CT-G666-8


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

    $350.00
    5.5
    $1,925.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    5.5
    $1,650.00
  3. 104 Tanker Response (Per Hour)

    $300.00
    5.5
    $1,650.00
  4. 309 Power Tool (# Used)

    $50.00
    4
    $200.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    5.5
    $550.00
  6. 205 Foam (Per Gallon)

    $65.00
    10
    $650.00
  7. 319 Generator (Per Generator/Per Hour)

    2 Generators @ 5.5 Hours each

    $50.00
    11
    $550.00
  8. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    2
    $200.00
  9. 318 Ladder (# Used)

    $35.00
    3
    $105.00
  10. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  11. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    15
    $750.00
  12. 304 SCBA Cylinder (# Used)

    $25.00
    15
    $375.00
  13. 404 Scene Lighting (Per Hour)

    $75.00
    5.5
    $412.50
  14. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    5.5
    $550.00
  15. 306 Hose Per 50′ (Amt Used)

    $25.00
    12
    $300.00

  16. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 14704 FM 1489 Orchard, Texas 77464

Subtotal $9,917.50
Total Due $9,917.50


Updated
December 26, 2020 @ 4:46 pm

Invoice updated by Geoffrey.

Status Update
December 26, 2020 @ 4:46 pm

Status changed: Draft to Pending.

Updated
June 11, 2021 @ 3:32 pm

Invoice updated by Geoffrey.

Updated
June 11, 2021 @ 3:33 pm

Invoice updated by Geoffrey.

Updated
September 30, 2021 @ 5:52 pm

Invoice updated by Geoffrey.