Bill To:


FOREMOST INSURANCE
PO BOX 2450
GRAND RAPIDS, MI 49501-2450

Services Rendered To:


Ronnie Haines
1440 Mill Creek Road
Huntington, TX 75949
Policy # 0912597906


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

    $350.00
    1.75
    $612.50
  2. 104 Tanker Response (Per Hour)

    $300.00
    1.75
    $525.00
  3. 319 Generator (Per Generator/Per Hour)

    $50.00
    1.75
    $87.50
  4. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  5. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  6. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  7. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00
  8. 404 Scene Lighting (Per Hour)

    $75.00
    1.75
    $131.25
  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    4
    $100.00

  10. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 1440 Mill Creek Road Huntington, TX 75949

Subtotal $1,701.25
Total Due $1,701.25


Updated
June 9, 2022 @ 3:51 pm

Invoice updated by Geoffrey.

Status Update
June 9, 2022 @ 3:51 pm

Status changed: Draft to Pending.