Bill To:


AMERISURE INSURANCE
PO BOX 2060
FARMINGTON HILLS, MI 48333-2060

Services Rendered To:


James Olmstead
809 Bills alley
Whitewright, Texas 75491
Policy # CA2055144


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  2. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  4. 324 Traffic Cone (# Used)

    $5.00
    2
    $10.00

  5. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: Lake Point Blvd - Lavon, Texas

    Ordinance Info: City of Lavon Resolution No. 2020-03-01

Subtotal $760.00
Total Due $760.00
Updated
July 28, 2020 @ 10:19 am

Invoice updated by Karen Smith.

Status Update
July 28, 2020 @ 10:19 am

Status changed: Draft to Pending.

Updated
July 28, 2020 @ 10:21 am

Invoice updated by Karen Smith.