Bill To:


First Chicago Insurance Co.
6640 S. Cicero Avenue
Bedford Park, IL 60638

Services Rendered To:


Taivashae Slay
1300 E. 6th Avenue
Corsicana, TX 75110
POLICY # TXM205036-00


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

    $300.00
    1
    $300.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 221 Southbound on Interstate Highway 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $400.00
Total Due $400.00


Updated
September 17, 2022 @ 5:26 pm

Invoice updated by Geoffrey.

Status Update
September 17, 2022 @ 5:26 pm

Status changed: Draft to Pending.