Bill To:


GERMANIA INSURANCE COMPANY
507 Hwy. 290 E
Brenham, TX 77833

Services Rendered To:


Greg Mahaan
16088 FM 2109
Zavalla, TX 16038
Policy # 7-600-664-6824

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AC-309-22-50 04/10/2022 04/13/2022 On Receipt Zavalla Fire Department

Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.75
    $262.50
  2. 102 Engine Response (Per Hour)

    $350.00
    1.75
    $612.50
  3. 104 Tanker Response (Per Hour)

    $300.00
    1.75
    $525.00
  4. 103 Rescue Response (Per Hour)

    $300.00
    1.75
    $525.00
  5. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  6. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    3
    $150.00
  7. 304 SCBA Cylinder (# Used)

    $25.00
    3
    $75.00
  8. 404 Scene Lighting (Per Hour)

    $75.00
    1.75
    $131.25
  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  10. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 16088 FM 2109 Zavalla, TX 16038

Subtotal $2,456.25
Total Due $2,456.25


Updated
April 12, 2022 @ 7:29 pm

Invoice updated by Geoffrey.

Status Update
April 12, 2022 @ 7:29 pm

Status changed: Draft to Pending.

Viewed
October 25, 2022 @ 9:41 am

Invoice viewed by 64.124.8.56 for the first time.