Bill To:


USAA
9800 Fredericksburg Rd.
San Antonio, TX 78288

Services Rendered To:


Luis Gonzales
13190 SH 19
Apache, OK 73006
POLICY# 0311837717105


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

    $500.00
    1.5
    $750.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.5
    $375.00
  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  4. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    1
    $50.00
  5. 304 SCBA Cylinder (# Used)

    $25.00
    1
    $25.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00
  7. 207 Wetting Agent (Amt Used)

    $25.00
    1
    $25.00
  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00
  9. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  10. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: US-62 & Dolese Rd- Elgin, OK

    Ordinance Info: Wichita Mountain Estates Resolution- 1-1-23

Subtotal $1,665.00
Total Due $1,665.00


Updated
February 29, 2024 @ 10:40 am

Invoice updated by Geoffrey.

Status Update
February 29, 2024 @ 10:40 am

Status changed: Draft to Pending.