Bill To:


ALFA INSURANCE
207 Hwy 78 W
Jasper, AL 35501

Services Rendered To:


Richard Waits
1061 CR 91
Jemison, AL 35085
POLICY# R076818


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

    $500.00
    4.75
    $2,375.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    4.75
    $1,900.00
  3. 102 Engine Response (Per Hour)

    $500.00
    4.75
    $2,375.00
  4. 205 Foam (Per Gallon)

    $65.00
    40
    $2,600.00
  5. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00
  6. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    7
    $350.00
  7. 304 SCBA Cylinder (# Used)

    $25.00
    14
    $350.00
  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    12
    $300.00

  9. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 1061 CR 91 Jemison, AL 35085

Subtotal $10,310.00
Total Due $10,310.00


Updated
January 31, 2024 @ 2:28 pm

Invoice updated by Geoffrey.

Status Update
January 31, 2024 @ 2:28 pm

Status changed: Draft to Pending.