Bill To:


Tracy Harper
504 E. Dangerfield Street
Omaha, TX 75571

Services Rendered To:


Tracy Harper
504 E. Dangerfield St.
Omaha, Texas 75571
Policy # 11407058994


*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

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

    $350.00
    2
    $700.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  3. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00
  6. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  7. 409 Manpower (Per Hour)

    3 Firefighters 2 hours each

    $50.00
    6
    $300.00

  8. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: State Highway 77 West and County Road 2481

Subtotal $2,380.00
Total Due $2,380.00


Updated
July 26, 2021 @ 1:18 pm

Invoice updated by Geoffrey.

Status Update
July 26, 2021 @ 1:18 pm

Status changed: Draft to Pending.

Updated
July 26, 2021 @ 1:18 pm

Invoice updated by Geoffrey.

Updated
August 10, 2021 @ 5:40 pm

Invoice updated by Geoffrey.

Updated
September 22, 2021 @ 6:37 pm

Invoice updated by Geoffrey.

Updated
December 29, 2021 @ 4:37 pm

Invoice updated by Geoffrey.