Bill To:


Green Taxi
3719 E. Beaumont
Springfield, MO 77459

Services Rendered To:


Green Taxi
3719 E. Beaumont
Springfield, MO 65809
Driver:
Sammy Cook
3638 S. Oak
Springfield, MO 65809


*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. 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. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    30
    $7.50
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00
  7. 201 Oil Absorbent Material (# Used)

    $35.00
    4
    $140.00
  8. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  9. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 65 and Skyline School - Preston, MO

Subtotal $1,376.50
Total Due $1,376.50


Updated
March 29, 2022 @ 6:12 pm

Invoice updated by Geoffrey.

Status Update
March 29, 2022 @ 6:12 pm

Status changed: Draft to Pending.

Updated
June 6, 2022 @ 4:00 pm

Invoice updated by Geoffrey.

Viewed
October 22, 2022 @ 7:12 am

Invoice viewed by 64.124.8.31 for the first time.