Bill To:


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

Services Rendered To:


Billie Jo Dawson
170 CR 160
Whitesboro, TX 76273
POLICY# 106-0926112250


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

    $500.00
    2.75
    $1,375.00
  2. 104 Tanker Response (Per Hour)

    $400.00
    2.75
    $1,100.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    2.75
    $687.50
  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    2.75
    $550.00
  5. 309 Power Tool (# Used)

    $50.00
    4
    $200.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  7. 209 Extinguisher (# Used)

    $50.00
    2
    $100.00
  8. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    100
    $25.00
  9. 402 Fire/Police Services (Per Hour)    

    $100.00
    2.75
    $275.00
  10. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  11. 306 Gas/Co Detector (# Used)

    $50.00
    1
    $50.00
  12. 319 Generator (Per Generator/Per Hour)

    $50.00
    2.75
    $137.50
  13. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    2
    $200.00
  14. 318 Ladder (# Used)

    $35.00
    2
    $70.00
  15. 301 Hand Tool (# Used)

    $15.00
    6
    $90.00
  16. 320 Portable Pond (# Used)

    $150.00
    1
    $150.00
  17. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  18. 211 Salvage Cover (Amt Used)           

    $35.00
    1
    $35.00
  19. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  20. 304 SCBA Cylinder (# Used)

    $25.00
    4
    $100.00
  21. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.75
    $275.00
  22. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  23. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 170 CR 160 Whitesboro, TX 76273

    Ordinance Info: City Of Callisburg Resolution

Subtotal $6,010.00
Total Due $6,010.00


Updated
September 5, 2023 @ 4:56 pm

Invoice updated by Geoffrey.

Status Update
September 5, 2023 @ 4:56 pm

Status changed: Draft to Pending.