Bill To:


USAA CASUALTY INSURANCE
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:


Marie Walrus
103 Woodlake Drive
McQueeney, Texas 78123
Policy # 4044 46 03C 71011


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

    $350.00
    1
    $350.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 201 Oil Absorbent Material (# Used)

    $35.00
    5
    $175.00
  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  6. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 6300 Block of FM 725 - New Braunfels, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $1,475.00
Total Due $1,475.00


Updated
June 7, 2021 @ 2:46 pm

Invoice updated by Geoffrey.

Status Update
June 7, 2021 @ 2:46 pm

Status changed: Draft to Pending.