Bill To:


Jose Almanza
8720 Lakewood St
Houston, TX 77078

Services Rendered To:


Jose Almanza
8720 Lakewood St
Houston, TX 77078

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-214-23-19006 07/25/2023 11/21/2023 On Receipt Richland Township V. F. D.

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

    $500.00
    1
    $500.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    1
    $400.00
  3. 306 Hose Per 50′ (Amt Used)

    $25.00
    4
    $100.00

  4. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 14025 S I-45 E- Richland, TX

    Ordinance Info: Richland Billing Ordinance NO. 170 Cost Recovery

Subtotal $1,000.00
Total Due $1,000.00


Updated
November 21, 2023 @ 10:49 am

Invoice updated by Geoffrey.

Status Update
November 21, 2023 @ 10:49 am

Status changed: Draft to Pending.