Bill To:


ALFA INSURANCE
207 Hwy 78 W
Jasper, AL 35501

Services Rendered To:


Adrianna Mccleese
4127 Hwy 38
Russellville, AL 35654
POLICY# A0615254

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-02-006-23-33 04/03/2023 04/11/2023 On Receipt Littleville VFD

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

    $350.00
    1
    $350.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 43 & Rockcut- Russellville, AL

    Ordinance Info: Littleville Volunteer Fire Dept. Resolution

Subtotal $600.00
Total Due $600.00


Updated
April 11, 2023 @ 11:21 pm

Invoice updated by Geoffrey.

Status Update
April 11, 2023 @ 11:21 pm

Status changed: Draft to Pending.

Viewed
July 21, 2024 @ 10:50 pm

Invoice viewed by 66.220.149.14 for the first time.