Bill To:


USAA
9800 Fredericksburg Rd.
San Antonio, TX 78288

Services Rendered To:


Mickey McGee
License Plate# 2028BC4
POLICY# 0035196867102

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-02-908-23-300697 01/17/2023 01/23/2023 On Receipt Friendship VFD

Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  4. 309 Power Tool (# Used)

    $50.00
    2
    $100.00
  5. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00
  6. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  7. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00
  8. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  9. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 4420 Chlak Hill Rd- Tallassee, AL

Subtotal $1,203.00
Total Due $1,203.00


Updated
January 23, 2023 @ 10:30 am

Invoice updated by Geoffrey.

Status Update
January 23, 2023 @ 10:31 am

Status changed: Draft to Pending.