Bill To:


Nakia Whiil
30951 Nodaway Dr
Lebanon, MO 65536

Services Rendered To:


Nakia Whiil
30951 Nodaway Dr
Lebanon, MO 65536

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
MO-05-307-23-6 01/18/2023 05/08/2023 On Receipt Eldridge V.F.D.

*** 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)

    $350.00
    3
    $1,050.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    3
    $450.00

  3. Additional Incident Info

    Incident Type: Uncontrolled Burn

    Incident Location: 30951 Nodaway Dr Lebanon, MO 65536

Subtotal $1,500.00
Total Due $1,500.00


Updated
May 8, 2023 @ 11:19 am

Invoice updated by Geoffrey.

Status Update
May 8, 2023 @ 11:19 am

Status changed: Draft to Pending.