Bill To:


Pablo Sosa
203 North Leonard
Sequin, TX 78155

Services Rendered To:


Pablo Sosa
203 North Leonard
Sequin, Texas 78155


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

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. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  5. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  7. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  8. 407 Patient Care / Evaluation (Per Patient)

    $50.00
    2
    $100.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 78 and Schumann Road, McQueeney Texas

Subtotal $1,337.00
Total Due $1,337.00


Updated
February 8, 2021 @ 9:46 pm

Invoice updated by Geoffrey.

Updated
July 21, 2021 @ 8:01 pm

Invoice updated by Geoffrey.

Viewed
July 21, 2021 @ 8:01 pm

Invoice viewed by 192.122.185.4 for the first time.