Bill To:


SAFE AUTO
4 EASTON OVAL
COLUMBUS, OH 43219-6010

Services Rendered To:


Shantel Foster
173 Kendall Dr
Thomaston, GA 30286
POLICY# GA 734878

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-05-707-23-14 05/30/2023 06/05/2023 On Receipt Hatchechubbee VFD

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

    $350.00
    1.25
    $437.50
  2. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00
  3. 205 Foam (Per Gallon)

    $65.00
    5
    $325.00

  4. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 500 Hwy 36- Hatchechubbee, AL

Subtotal $812.50
Total Due $812.50


Updated
June 5, 2023 @ 10:49 am

Invoice updated by Geoffrey.

Status Update
June 5, 2023 @ 10:49 am

Status changed: Draft to Pending.