Bill To:


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

Services Rendered To:


James Spencer
2121 Warwick Place
New Braunfels, Texas 78130
Policy # 8306263736


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

    $350.00
    1.75
    $612.50
  2. 103 Rescue Response (Per Hour)

    $300.00
    1.75
    $525.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.75
    $262.50
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 209 Extinguisher (# Used)

    $50.00
    5
    $250.00
  6. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    100
    $25.00
  7. 205 Foam (Per Gallon)

    $65.00
    10
    $650.00
  8. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  9. 202 Oil Absorbent Sheet (# Used)

    $2.50
    5
    $12.50
  10. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  11. 304 SCBA Cylinder (# Used)

    $25.00
    5
    $125.00
  12. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00

  13. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 300 Block of Short Cut Road - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $3,187.50
Total Due $3,187.50


Updated
September 30, 2021 @ 7:20 pm

Invoice updated by Geoffrey.

Status Update
September 30, 2021 @ 7:20 pm

Status changed: Draft to Pending.