Bill To:


Property Owner
31101 Nodaway Dr
Lebanon, MO 65536

Services Rendered To:


Owner
31101 Nodaway Dr
Lebanon, MO 65536

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
MO-05-307-23-89 06/14/2023 06/26/2023 On Receipt Eldridge V.F.D.

*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  2. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 31101 Nodaway Dr Lebanon, MO 65536

Subtotal $150.00
Total Due $150.00


Updated
June 26, 2023 @ 11:25 am

Invoice updated by Geoffrey.

Status Update
June 26, 2023 @ 11:25 am

Status changed: Draft to Pending.