Bill To:


Linda Fey Windland
812 S Bonham St
Mexia, TX 76667

Services Rendered To:


Linda Fey Windland
812 S Bonham St
Mexia, TX 76667
POLICY# 19284835


*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

Product
Price
Qty
Amount
  1. 406 Medical Extrication – Lvl 2

    Patient

    Raford Lee Sterling
    163 LCR 377A
    Mexia, TX 76667

    $1,500.00
    1
    $1,500.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 14/ FM 641- Richland, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,500.00
Total Due $1,500.00


Updated
December 12, 2023 @ 3:19 pm

Invoice updated by Geoffrey.

Updated
December 12, 2023 @ 3:24 pm

Invoice updated by Geoffrey.

Viewed
March 29, 2024 @ 8:03 pm

Invoice viewed by 66.249.72.6 for the first time.