Bill To:


Alabama Municipal Ins Corp.
110 North Ripley Street
Montgomery, AL 36104

Services Rendered To:


Bonnie Lawson
110 North Ripley Street
Montgomery, AL 36104
POLICY# 1003320606251

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-02-006-23-4 01/04/2023 01/09/2023 On Receipt Littleville VFD

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

    $350.00
    1
    $350.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1810 George Wallace Hwy- Tuscumbia, AL

Subtotal $450.00
Total Due $450.00


Updated
January 9, 2023 @ 10:48 am

Invoice updated by Geoffrey.

Status Update
January 9, 2023 @ 10:48 am

Status changed: Draft to Pending.