Bill To:


USAA
9800 Fredericksburg Rd.
San Antonio, TX 78288

Services Rendered To:


Sabra Spence
652 PVR Rd 705
Edgewood, TX 75117
POLICY# 0014329937102


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

    $350.00
    1.5
    $525.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.5
    $150.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 6320 Hwy 64- Ben Wheeler, TX

Subtotal $1,304.00
Total Due $1,304.00


Updated
January 2, 2023 @ 11:16 am

Invoice updated by Geoffrey.

Status Update
January 2, 2023 @ 11:16 am

Status changed: Draft to Pending.