Bill To:


Whitehead Insurance
109 S Thompson Ave
Oneida, TN 37841

Services Rendered To:


Nathan Byrge
9239 Baker Hwy
Huntsville, TN 37756

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TN-76-821-24-35 05/13/2024 05/16/2024 On Receipt Paint Rock VFD

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

    $500.00
    1
    $500.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  3. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  4. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: Buffalo Rd- Onieda, TN

Subtotal $625.00
Total Due $625.00


Updated
May 16, 2024 @ 12:42 pm

Invoice updated by Geoffrey.

Status Update
May 16, 2024 @ 12:42 pm

Status changed: Draft to Pending.