Bill To:


FARM BUREAU INSURANCE
5400 UNIVERSITY AVENUE
WEST DES MOINES, IA 50266-5997

Services Rendered To:


Dustin Walker
342 Hayes Street
Lebanon, MO 65536
POLICY # APR0618972


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

    $350.00
    1.75
    $612.50
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.75
    $262.50
  3. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    1
    $50.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 304 SCBA Cylinder (# Used)

    $25.00
    3
    $75.00
  6. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00
  7. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  8. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00

  9. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 30691 North Highway 5 - Lebanon, MO

Subtotal $1,420.00
Total Due $1,420.00


Updated
September 23, 2022 @ 2:42 pm

Invoice updated by Geoffrey.

Status Update
September 23, 2022 @ 2:42 pm

Status changed: Draft to Pending.

Updated
September 23, 2022 @ 2:45 pm

Invoice updated by Geoffrey.