Bill To:


Kellie Lafleur
24906 Laguna Edge Dr
Katy, TX 77494

Services Rendered To:


Kellie Lafleur
24906 Laguna Edge Dr
Katy, TX 77494

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AK-305-23-3474 04/30/2023 07/18/2023 On Receipt San Felipe Frydek V.F.D.

*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

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

    $500.00
    1.5
    $750.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1.5
    $300.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.5
    $375.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 205 Foam (Per Gallon)

    $65.00
    2
    $130.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00
  7. 301 Hand Tool (# Used)

    $15.00
    6
    $90.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00
  9. 408 Air Medical Landing Zone (Used)

    $250.00
    1
    $250.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 725 I10 WB- Sealy, TX

Subtotal $2,299.00
Total Due $2,299.00


Updated
July 18, 2023 @ 12:12 pm

Invoice updated by Geoffrey.

Status Update
July 18, 2023 @ 12:12 pm

Status changed: Draft to Pending.

Updated
July 28, 2023 @ 12:09 pm

Invoice updated by Geoffrey.

Updated
December 19, 2023 @ 1:42 pm

Invoice updated by Geoffrey.

Viewed
July 22, 2024 @ 1:01 am

Invoice viewed by 69.171.230.14 for the first time.