Bill To:


USAA
9800 Fredericksburg Rd.
San Antonio, TX 78288

Services Rendered To:


Timothy Poe
2050 Stonetrace Circle
Rosharon, TX
POLICY# 036041232G71014

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-BB-326-24-84-C 04/29/2024 05/02/2024 On Receipt Rosharon VFD

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

    $200.00
    1.5
    $300.00
  2. 102 Engine Response (Per Hour)

    $500.00
    1.5
    $750.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.5
    $375.00
  4. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.5
    $375.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  7. 301 Hand Tool (# Used)

    $15.00
    5
    $75.00
  8. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Fm 1462- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $2,325.00
Total Due $2,325.00


Updated
May 2, 2024 @ 3:36 pm

Invoice updated by Geoffrey.