Bill To:


Great American Insurance
P.O. Box 5425
Cincinnati, OH 45201-5425

Services Rendered To:


Brisehida Martens
7154 FM 1458
Sealy, Texas 77474
POLICY # E452852


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

    $350.00
    3
    $1,050.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    3
    $450.00
  3. 205 Foam (Per Gallon)

    $65.00
    8
    $520.00
  4. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  5. 318 Ladder (# Used)

    $35.00
    2
    $70.00
  6. 301 Hand Tool (# Used)

    $15.00
    8
    $120.00
  7. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    5
    $250.00
  8. 304 SCBA Cylinder (# Used)

    $25.00
    5
    $125.00
  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    4
    $100.00

  10. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 7154 FM 1458 Sealy, Texas 77474

Subtotal $2,785.00
Total Due $2,785.00


Updated
April 25, 2022 @ 5:00 pm

Invoice updated by Geoffrey.

Status Update
April 25, 2022 @ 5:00 pm

Status changed: Draft to Pending.

Updated
April 25, 2022 @ 5:08 pm

Invoice updated by Geoffrey.

Updated
April 25, 2022 @ 5:08 pm

Invoice updated by Geoffrey.