Bill To:


John Farmer
408 E 5th Street
Hugotown, KS 67951

Services Rendered To:


John Farmer
408 E 5th Street
Hugotown, KS 67951


*** Please Submit this to your AUTO 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. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  2. 102 Engine Response (Per Hour)

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

    $150.00
    1
    $150.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 4475 N State Hwy 6- Woodway, TX

Subtotal $900.00
Total Due $900.00


Updated
November 9, 2022 @ 5:12 pm

Invoice updated by Geoffrey.

Status Update
November 9, 2022 @ 5:12 pm

Status changed: Draft to Pending.

Updated
November 9, 2022 @ 5:13 pm

Invoice updated by Geoffrey.

Updated
February 28, 2023 @ 1:25 pm

Invoice updated by Sherryf.

Viewed
February 28, 2023 @ 1:25 pm

Invoice viewed by Sherry Fels (Sherryf) for the first time.