Bill To:


LJ Drilling, Inc.
101 E. Park Boulevard, Ste. 413
Plano, TX 75074-8824

Services Rendered To:


LJ Drilling, Inc.
101 E. Park Blvd. Ste 413
Plano, TX 75074-8824
Company Representatives on site:
Shawn Bennett - 217-390-09551
Austin Walters - 217-390-0951

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-CN-310-22-110 03/10/2022 04/14/2022 On Receipt Lavon V.F.D.

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

Product
Price
Qty
Amount
  1. 101 Aerial/Ladder Response (Per Hour)

    $400.00
    3.5
    $1,400.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    3.5
    $525.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    3.5
    $350.00
  4. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00

  5. Additional Incident Info

    Incident Type: Hazardous Material Response

    Incident Location: 108 South Main - Lavon, Texas

    Ordinance Info: City of Lavon - Resolution NO. 2020-03-01

Subtotal $2,325.00
Total Due $2,325.00


Updated
April 14, 2022 @ 4:35 pm

Invoice updated by Geoffrey.

Status Update
April 14, 2022 @ 4:35 pm

Status changed: Draft to Pending.

Updated
July 22, 2022 @ 4:43 pm

Invoice updated by Geoffrey.

Viewed
October 22, 2022 @ 3:04 pm

Invoice viewed by 64.124.8.25 for the first time.