Bill To:


STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:


Dustin Murray
185 Lake Ridge Dr
Jacksons Gap, AL 36861
POLICY# 5650636-E-18-01

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-06-203-23-18 01/22/2023 02/01/2023 On Receipt Camp Hill VFD

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

    $350.00
    1.25
    $437.50
  2. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  4. 319 Generator (Per Generator/Per Hour)

    $50.00
    1.25
    $62.50
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  6. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: County Rd 89 & Hodges Rd- Camp Hill, AL

Subtotal $1,281.25
Total Due $1,281.25


Updated
February 1, 2023 @ 12:52 am

Invoice updated by Geoffrey.

Status Update
February 1, 2023 @ 12:52 am

Status changed: Draft to Pending.

Viewed
July 22, 2024 @ 9:21 pm

Invoice viewed by 69.171.249.114 for the first time.