Bill To:


TRAVELERS INSURANCE GROUP
ONE TOWER SQUARE - 5MS
HARTFORD, CT 06183-0001

Services Rendered To:


R & N Courier Service, LLC.
5133 Mini Court
Dallas, Texas 75211
POLICY # 9N857444BA


Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  3. 418 Environmental Hazard Cleanup/Removal

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

    $100.00
    1
    $100.00
  5. 206 Latex Gloves (Pairs Used)

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

    $100.00
    1
    $100.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 64 @ CR 4813 - Ben Wheeler, Texas

Subtotal $904.00
Total Due $904.00


Updated
June 20, 2022 @ 1:13 pm

Invoice updated by Geoffrey.

Status Update
June 20, 2022 @ 1:13 pm

Status changed: Draft to Pending.