Bill To:


Old Republic Insurance
307 N. Michigan Avenue
Chicago, IL 60601

Services Rendered To:


Fed Ex DTI Trans
1000 Fed Ex Dr
Moon Twp, PA 15108
POLICY# MWTB31577522


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $400.00
    1.75
    $700.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.75
    $437.50
  3. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00
  6. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00

  7. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 225 NB Service Rd IH45- Angus, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,457.50
Total Due $1,457.50


Updated
November 17, 2023 @ 7:22 pm

Invoice updated by Geoffrey.

Status Update
November 17, 2023 @ 7:22 pm

Status changed: Draft to Pending.