Bill To:


Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


Croatt Taylor Denise
POLICY# 21865215

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-BB-326-24-112 06/01/2024 06/11/2024 On Receipt Rosharon VFD

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

    $200.00
    3
    $600.00
  2. 102 Engine Response (Per Hour)

    $500.00
    3
    $1,500.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    3
    $750.00
  4. 103 Rescue Response (Per Hour)

    $400.00
    3
    $1,200.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    3
    $300.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  7. 324 Traffic Cone (# Used)

    $5.00
    15
    $75.00
  8. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 1462- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $4,690.00
Total Due $4,690.00


Updated
June 11, 2024 @ 3:20 pm

Invoice updated by Geoffrey.

Updated
June 11, 2024 @ 3:20 pm

Invoice updated by Geoffrey.

Status Update
June 11, 2024 @ 3:20 pm

Status changed: Draft to Pending.

Status Update
June 11, 2024 @ 3:20 pm

Status changed: Draft to Pending.