Bill To:


Old Republic Insurance
307 N. Michigan Avenue
Chicago, IL 60601

Services Rendered To:


Penske Leasing & Rental
221 East Airtex
Houston, Texas 77073
Policy # MWTB 311325


Product
Price
Qty
Amount
  1. 104 Tanker Response (Per Hour)

    $300.00
    2.5
    $750.00
  2. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.5
    $250.00
  4. 232 N95 Mask (Per Unit/Per Use)

    $10.00
    2
    $20.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 218 Southbound @ Interstate 45 - Richland, Texas

    Ordinance Info: City of Angus Billing Authorization Item # 7

Subtotal $1,028.00
Total Due $1,028.00


Updated
March 31, 2021 @ 5:04 pm

Invoice updated by Geoffrey.

Status Update
March 31, 2021 @ 5:04 pm

Status changed: Draft to Pending.

Updated
March 31, 2021 @ 5:05 pm

Invoice updated by Geoffrey.

Updated
April 20, 2021 @ 5:52 pm

Invoice updated by Geoffrey.

Updated
September 29, 2021 @ 3:59 pm

Invoice updated by Geoffrey.

Updated
October 18, 2021 @ 10:16 am

Invoice updated by Geoffrey.

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