Bill To:


Old American County Mutual
P.O. Box 793747
Dallas, TX 75379

Services Rendered To:


Manuel Galindo
5101 Estes Parkway
Longview, TX 75603
POLICY# TWA66843


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $400.00
    1
    $400.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 59 & Woodlawn Oaks Dr- Woodlawn, TX

Subtotal $500.00
Total Due $500.00


Updated
February 29, 2024 @ 10:31 am

Invoice updated by Geoffrey.

Status Update
February 29, 2024 @ 10:31 am

Status changed: Draft to Pending.