Bill To:


SHELTER INSURANCE
1817 WEST BROADWAY
COLUMBIA, MO 65203-1107

Services Rendered To:


Curlyn Dubroc
332 Ed Carroll Rd
Hessmer, LA 71341
Attn Agent Mike Poche


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

    $350.00
    2.5
    $875.00
  2. 102 Engine Response (Per Hour)

    $350.00
    2.5
    $875.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2.5
    $375.00
  4. 104 Tanker Response (Per Hour)

    $300.00
    2.5
    $750.00
  5. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  6. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    160
    $40.00
  7. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  8. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  9. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  10. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  11. 320 Portable Pond (# Used)

    $150.00
    1
    $150.00
  12. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  13. 211 Salvage Cover (Amt Used)           

    $35.00
    1
    $35.00
  14. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  15. 304 SCBA Cylinder (# Used)

    $25.00
    4
    $100.00

  16. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 332 Ed Carroll Rd- Hessmer, LA

Subtotal $3,730.00
Total Due $3,730.00


Updated
January 5, 2023 @ 7:25 pm

Invoice updated by Geoffrey.

Status Update
January 5, 2023 @ 7:25 pm

Status changed: Draft to Pending.

Viewed
March 29, 2024 @ 7:39 pm

Invoice viewed by 66.249.72.5 for the first time.