Bill To:


TRAVELERS INSURANCE GROUP
ONE TOWER SQUARE - 5MS
HARTFORD, CT 06183-0001

Services Rendered To:


Catherine Branch
1312 Nottingham
White Oak, Texas 75693
Claim # ILC3183


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2.75
    $412.50
  2. 102 Engine Response (Per Hour)

    $350.00
    2.75
    $962.50
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2.75
    $412.50
  4. 102 Engine Response (Per Hour)

    $350.00
    2.75
    $962.50
  5. 306 Gas/Co Detector (# Used)

    $50.00
    1
    $50.00
  6. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  7. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  8. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  10. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 1312 Nottingham White Oak, Texas 75693

Subtotal $3,125.00
Total Due $3,125.00
Updated
December 26, 2020 @ 6:03 pm

Invoice updated by Geoffrey.

Status Update
December 26, 2020 @ 6:03 pm

Status changed: Draft to Pending.

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October 24, 2022 @ 1:41 am

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