Bill To:


Carlos Rico
11109 Erich Drive
Baluch Springs, TX 75180

Services Rendered To:


Carlos Rico
11109 Erich Drive
Baluch Springs, TX 75180
469-222-9545


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US 266 & Lottawatta - Checotah, OK

Subtotal $550.00
Total Due $550.00


Updated
May 16, 2021 @ 6:54 pm

Invoice updated by Geoffrey.

Status Update
May 16, 2021 @ 6:54 pm

Status changed: Draft to Pending.

Updated
August 10, 2021 @ 5:01 pm

Invoice updated by Geoffrey.