Bill To:


Steve Smith
24847 Route 66
Lebanon, MO 65536

Services Rendered To:


Steve Smith
24847 Route 66
Lebanon, MO 65536


*** Please Submit this to your AUTO 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)

    $500.00
    1.5
    $750.00
  2. 409 Manpower (Per Hour)

    $50.00
    2
    $100.00
  3. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    1
    $50.00
  4. 304 SCBA Cylinder (# Used)

    $25.00
    1
    $25.00
  5. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  6. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 24847 Route 66 -Lebanon, MO 65536

Subtotal $1,000.00
Total Due $1,000.00


Updated
June 30, 2021 @ 3:24 pm

Invoice updated by Geoffrey.

Status Update
June 30, 2021 @ 3:24 pm

Status changed: Draft to Pending.

Updated
September 22, 2021 @ 5:04 pm

Invoice updated by Geoffrey.