Bill To:


Monica Ann Bentley
2107 Shipley Dr
Gainesville, TX 76240

Services Rendered To:


Monica Ann Bentley
2107 Shipley Dr
Gainesville, TX 76240
POLICY# 46251038


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

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

    $500.00
    1.25
    $625.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1.25
    $250.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.25
    $125.00
  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  7. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: CR 114 & FM 2383- Whitesboro, TX

    Ordinance Info: City Of Callisburg Resolution

Subtotal $1,500.00
Total Due $1,500.00


Updated
July 31, 2023 @ 12:26 pm

Invoice updated by Geoffrey.

Status Update
July 31, 2023 @ 12:26 pm

Status changed: Draft to Pending.

Updated
October 18, 2023 @ 12:33 pm

Invoice updated by Geoffrey.

Viewed
March 28, 2024 @ 10:51 pm

Invoice viewed by 66.249.72.6 for the first time.

Viewed
March 30, 2024 @ 6:47 am

Invoice viewed by 66.249.72.4 for the first time.