Bill To:


Safety National Casualty Group
1832 Schuetz Road
St.Louis, MO 63146

Services Rendered To:


Harrison Thomas Unsail
6841 Orville St
Houston, TX 77028
POLICY# CA 6676533

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-BB-326-23-216 11/08/2023 12/05/2023 On Receipt Rosharon VFD

Product
Price
Qty
Amount
  1. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 14735 FM 521- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $100.00
Total Due $100.00


Updated
December 5, 2023 @ 3:17 pm

Invoice updated by Geoffrey.

Status Update
December 5, 2023 @ 3:17 pm

Status changed: Draft to Pending.

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March 28, 2024 @ 10:52 pm

Invoice viewed by 66.249.72.6 for the first time.

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March 30, 2024 @ 5:45 am

Invoice viewed by 66.249.72.4 for the first time.