Bill To:


Bria Insurance and Risk Consultants
4601 Spicewood Springs Road
Bldg # 2, Suite 200
Austin, TX 78759

Services Rendered To:


Jerry and Claire Anderson
P.O. Box 1340
Whitney, Texas 76692
Ph# 254-694-3129
Policy # Unavailable at Scene

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-KP-403-2020-9020 09/12/2020 09/15/2020 On Receipt White Bluff V.F.D.

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

    $350.00
    2.25
    $787.50
  2. 104 Tanker Response (Per Hour)

    $300.00
    2.25
    $675.00
  3. 319 Generator (Per Generator/Per Hour)

    $50.00
    2.25
    $112.50
  4. 301 Hand Tool (# Used)

    $15.00
    5
    $75.00
  5. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  6. 404 Scene Lighting (Per Hour)

    $75.00
    2.25
    $168.75
  7. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00

  8. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 420 Juniper Cove Road - Whitney, Texas

Subtotal $2,168.75
Total Due $2,168.75
Updated
September 15, 2020 @ 12:41 pm

Invoice updated by Geoffrey.

Status Update
September 15, 2020 @ 12:41 pm

Status changed: Draft to Pending.

Updated
September 15, 2020 @ 12:42 pm

Invoice updated by Geoffrey.

Viewed
July 22, 2024 @ 12:08 pm

Invoice viewed by 66.220.149.1 for the first time.