Bill To:


Larry Duncan
105 Front St.
Marietta, TX 75566

Services Rendered To:


Larry Duncan
Policy# N/A


*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

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

    $350.00
    2
    $700.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    2
    $600.00
  3. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00
  4. 205 Foam (Per Gallon)

    $65.00
    5
    $325.00
  5. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  6. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  7. 409 Manpower (Per Hour)

    $20.00
    10
    $200.00
  8. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00
  9. 319 Generator (Per Generator/Per Hour)

    $50.00
    2
    $100.00

  10. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 105 Front St. Marietta, TX 75566

Subtotal $2,670.00
Total Due $2,670.00
Updated
August 25, 2019 @ 1:49 am

Invoice updated by Karen Smith.

Status Update
August 25, 2019 @ 1:49 am

Status changed: Draft to Pending.

Updated
August 25, 2019 @ 1:51 am

Invoice updated by Karen Smith.