Bill To:


Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


Kyrsten Wheatley
POLICY# 21548440

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AD-505-23-426-B 09/08/2023 09/11/2023 On Receipt Rock Port VFD

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

    $200.00
    1
    $200.00
  2. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  3. 103 Rescue Response (Per Hour)

    $400.00
    1
    $400.00
  4. 104 Tanker Response (Per Hour)

    $400.00
    1
    $400.00
  5. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1405 W Market St- Rock Port, TX

Subtotal $2,250.00
Total Due $2,250.00


Updated
September 11, 2023 @ 11:36 am

Invoice updated by Geoffrey.