Bill To:


Consumers County Mutual Insurance
4245 N. Central Expressway, Suite 500
Dallas, TX 75205

Services Rendered To:


Lindsay Bain
518 East Gaston Drive
Wylie, Texas 75098
Policy # 601-608-916-222-1


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

    $350.00
    1
    $350.00
  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 and Lake Road - Lavon, Texas

    Ordinance Info: City of Lavon, Texas - Resolution NO. 2020-03-01

Subtotal $781.00
Total Due $781.00


Updated
January 14, 2021 @ 6:12 pm

Invoice updated by Geoffrey.

Viewed
October 23, 2022 @ 2:04 am

Invoice viewed by 64.124.8.43 for the first time.