Bill To:


ASI Progressive Home
P.O. Box 5009
Antioch, TN 37011-5009

Services Rendered To:


Brannon Johnson
18 County Rd 1072
Thorsby, AL 35171
POLICY# ALA125137

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-01-403-23-95 01/24/2023 01/25/2023 On Receipt Jemison FD

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

    $350.00
    1
    $350.00
  2. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00

  3. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 18 County Rd 1072- Thorsby, AL

Subtotal $450.00
Total Due $450.00


Updated
January 25, 2023 @ 12:35 pm

Invoice updated by Geoffrey.

Status Update
January 25, 2023 @ 12:35 pm

Status changed: Draft to Pending.