Bill To:


GERMANIA INSURANCE COMPANY
507 Hwy. 290 E
Brenham, TX 77833

Services Rendered To:


Sergio Ventura
600 Gunsmoke Trail
Princeton, Texas 75407
Policy # 02536541
Claim # 10285374


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

    $350.00
    1
    $350.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

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

    $150.00
    1
    $150.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    12
    $24.00
  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  7. 201 Oil Absorbent Material (# Used)

    $35.00
    3
    $105.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 and Highway 205 - Lavon, Texas

    Ordinance Info: Resolution NO. 2020-03-01

Subtotal $1,159.00
Total Due $1,159.00


Updated
April 7, 2021 @ 2:03 pm

Invoice updated by Geoffrey.

Updated
April 30, 2021 @ 4:32 pm

Invoice updated by Geoffrey.

Updated
May 13, 2021 @ 7:22 pm

Invoice updated by Geoffrey.

Updated
May 13, 2021 @ 7:31 pm

Invoice updated by Geoffrey.

Viewed
October 24, 2022 @ 11:36 pm

Invoice viewed by 64.124.8.28 for the first time.

Viewed
March 30, 2024 @ 12:03 am

Invoice viewed by 66.249.72.6 for the first time.