Bill To:


GERMANIA INSURANCE COMPANY
507 Hwy. 290 E
Brenham, TX 77833

Services Rendered To:


Michael Fitzgerald
820 FM 1475
Huntington, TX 75949
Policy # 7-600-10111298

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AC-409-22-035 03/02/2022 03/08/2022 On Receipt City of Huntington VFD

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

    $350.00
    1
    $350.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00
  3. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00
  4. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  5. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 820 FM 1475 Huntington, TX 75949

Subtotal $690.00
Total Due $690.00


Updated
March 8, 2022 @ 12:33 pm

Invoice updated by Geoffrey.

Status Update
March 8, 2022 @ 12:33 pm

Status changed: Draft to Pending.

Viewed
October 24, 2022 @ 1:46 am

Invoice viewed by 64.124.8.25 for the first time.