Bill To:


GARRISON PROPERTY & CASUALTY
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78288-4100

Services Rendered To:


Luis Garcia
219 Rockhill Drive
San Antonio, Texas 78209
Policy # 010013276R71020

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-HS-403-2021-511-B 11/28/2021 12/08/2021 On Receipt McQueeney V.F.D.

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

    $350.00
    1
    $350.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  4. 331 Air Bags (# Used)

    $150.00
    2
    $300.00
  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  6. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  7. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  8. 201 Oil Absorbent Material (# Used)

    $35.00
    5
    $175.00
  9. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  10. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00
  11. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  12. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 3500 Block of FM 78 - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $2,012.00
Total Due $2,012.00


Updated
December 8, 2021 @ 6:32 pm

Invoice updated by Geoffrey.