Bill To:


Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


Riley Walker
683 N State Hwy
Hico, TX 76457
POLICY# 23251396

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-HW-405-24-11 01/26/2024 02/06/2024 On Receipt Hico VFD

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

    $500.00
    1.75
    $875.00
  2. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00
  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  6. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  7. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  8. 404 Scene Lighting (Per Hour)

    $75.00
    1.75
    $131.25
  9. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US 281 & FM 1824- Erath Co, TX

    Ordinance Info: Hico VFD Billing Resolution

Subtotal $1,626.25
Total Due $1,626.25


Updated
February 6, 2024 @ 5:12 pm

Invoice updated by Geoffrey.

Status Update
February 6, 2024 @ 5:12 pm

Status changed: Draft to Pending.

Viewed
April 17, 2024 @ 7:16 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.