Bill To:


Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


Great White Industries
10946 Reinecker Road
Orchard, Texas 77464
Driver: Angel Orazco
Policy # 10026068CA
CLAIM # 822729


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

    $350.00
    1.75
    $612.50
  2. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.75
    $175.00
  3. 319 Generator (Per Generator/Per Hour)

    $50.00
    1.75
    $87.50
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00
  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  6. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 1489 @ Reinecker Road - Orchard, Texas

Subtotal $938.00
Total Due $938.00
Updated
October 19, 2020 @ 3:01 pm

Invoice updated by Geoffrey.

Status Update
October 19, 2020 @ 3:01 pm

Status changed: Draft to Pending.

Updated
October 19, 2020 @ 3:11 pm

Invoice updated by Geoffrey.

Updated
November 20, 2020 @ 12:18 pm

Invoice updated by Geoffrey.

Updated
November 20, 2020 @ 12:19 pm

Invoice updated by Geoffrey.

Viewed
October 24, 2022 @ 1:41 am

Invoice viewed by 64.124.8.25 for the first time.