Bill To:


Hussain Lata Fat
7410 FM-1462
Rosharon, TX 77583

Services Rendered To:


Hussain Lata Fat
7410 FM-1462
Rosharon, TX 77583

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-BB-326-23-159 08/29/2023 09/18/2023 On Receipt Rosharon VFD

*** 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)

    $500.00
    2.75
    $1,375.00
  2. 104 Tanker Response (Per Hour)

    $400.00
    2.75
    $1,100.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    2.75
    $687.50
  4. 104 Tanker Response (Per Hour)

    $400.00
    2.75
    $1,100.00
  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  6. 205 Foam (Per Gallon)

    $65.00
    5
    $325.00
  7. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00
  8. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  9. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  10. 404 Scene Lighting (Per Hour)

    $75.00
    2.75
    $206.25
  11. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    3
    $150.00
  12. 304 SCBA Cylinder (# Used)

    $25.00
    3
    $75.00
  13. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00

  14. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 7410 FM-1462 Rosharon, TX 77583

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $5,698.75
Total Due $5,698.75


Updated
September 18, 2023 @ 1:46 pm

Invoice updated by Geoffrey.

Status Update
September 18, 2023 @ 1:46 pm

Status changed: Draft to Pending.

Updated
September 18, 2023 @ 1:47 pm

Invoice updated by Geoffrey.