Bill To:


FOREMOST INSURANCE
PO BOX 2450
GRAND RAPIDS, MI 49501-2450

Services Rendered To:


Luis Torres
Stephanie Morrison
6857 SW CR 0021
Corsicana, Texas 75110
POLICY # 1060926014106


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    5.5
    $1,650.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    5.5
    $1,650.00
  3. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  4. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  5. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    3
    $150.00
  6. 304 SCBA Cylinder (# Used)

    $25.00
    6
    $150.00
  7. 207 Wetting Agent (Amt Used)

    $25.00
    2
    $50.00
  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    12
    $300.00

  9. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 6857 SW CR 0021 Corsicana, Texas 75110

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $4,085.00
Total Due $4,085.00


Updated
April 14, 2022 @ 3:12 pm

Invoice updated by Geoffrey.

Status Update
April 14, 2022 @ 3:12 pm

Status changed: Draft to Pending.

Updated
April 14, 2022 @ 3:12 pm

Invoice updated by Geoffrey.