Bill To:


Standard Insurance
1100 SW 6th Ave #711
Portland, OR 97204

Services Rendered To:


Patricia Bradley
426 Alice Lane
Huntington, TX 75949
PH # 936-465-0694
POLICY # 656106


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

    $350.00
    1.25
    $437.50
  2. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  3. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  4. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 426 Alice Lane Huntington, TX 75949

Subtotal $527.50
Total Due $527.50


Updated
July 26, 2022 @ 1:36 pm

Invoice updated by Geoffrey.

Status Update
July 26, 2022 @ 1:36 pm

Status changed: Draft to Pending.

Updated
September 12, 2022 @ 6:38 pm

Invoice updated by Geoffrey.