Bill To:


Anthony Hernandez
284 Castle Bar Road
Gordonville, TX 76245

Services Rendered To:


Anthony Hernandez
284 Castle Bar Road
Gordonville, Texas 76245


*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

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

    $350.00
    1.25
    $437.50
  2. 205 Foam (Per Gallon)

    $65.00
    10
    $650.00
  3. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  4. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  5. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00
  6. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00

  7. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 271 Hillcrest - Gordonville, Texas

Subtotal $1,417.50
Total Due $1,417.50


Updated
March 17, 2022 @ 1:33 pm

Invoice updated by Geoffrey.

Status Update
March 17, 2022 @ 1:33 pm

Status changed: Draft to Pending.

Updated
March 17, 2022 @ 1:33 pm

Invoice updated by Geoffrey.

Updated
March 17, 2022 @ 1:34 pm

Invoice updated by Geoffrey.

Viewed
October 25, 2022 @ 7:27 am

Invoice viewed by 64.124.8.25 for the first time.