Bill To:


Texas Farm Bureau Insurance Companies
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


Joe Canales
606 Rosemary Drive
Sequin, TX 78155
Adjuster: Wyatt Townsend
POLICY # 23252233
CLAIM # 100113319


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

    $350.00
    1
    $350.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  8. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 6200 Block of FM 725 - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $1,133.00
Total Due $1,133.00


Status Update
May 24, 2022 @ 2:15 pm

Status changed: Pending to Paid.

Updated
May 24, 2022 @ 2:15 pm

Invoice updated by Geoffrey.

Status Update
May 24, 2022 @ 2:15 pm

Status changed: Draft to Pending.

Updated
May 24, 2022 @ 2:25 pm

Invoice updated by Geoffrey.

Updated
May 24, 2022 @ 2:25 pm

Invoice updated by Geoffrey.

Status Update
May 24, 2022 @ 2:25 pm

Status changed: Paid to Pending.

Updated
July 21, 2022 @ 1:58 pm

Invoice updated by Geoffrey.