Bill To:


Anna Gilberto
893 Holly Street
New Braunfels, TX 78130

Services Rendered To:


Anna Gilberto
893 Holly Street
New Braunfels, TX 78130
Policy # 886534081


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

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

    $150.00
    1
    $150.00
  2. 102 Engine Response (Per Hour)

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

    $150.00
    1
    $150.00
  4. 209 Extinguisher (# Used)

    $50.00
    2
    $100.00

  5. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: FM 78 - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $750.00
Total Due $750.00


Updated
April 6, 2022 @ 8:44 pm

Invoice updated by Geoffrey.

Status Update
April 6, 2022 @ 8:44 pm

Status changed: Draft to Pending.

Updated
September 22, 2022 @ 12:43 pm

Invoice updated by Geoffrey.