Bill To:


Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


Lisha Williams
18704 CR 1089
Royce City, TX 75189
POLICY# 21380772

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-CN-310-23-652-A 09/18/2023 09/19/2023 On Receipt Lavon V.F.D.

Product
Price
Qty
Amount
  1. 101 Aerial/Ladder Response (Per Hour)

    $550.00
    1.25
    $687.50
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1.25
    $250.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 2755 - Lavon, Texas

    Ordinance Info: City of Lavon Resolution NO. 2020-03-01

Subtotal $1,640.00
Total Due $1,640.00


Updated
September 19, 2023 @ 11:52 am

Invoice updated by Geoffrey.

Status Update
September 19, 2023 @ 11:52 am

Status changed: Draft to Pending.

Updated
September 19, 2023 @ 11:53 am

Invoice updated by Geoffrey.

Viewed
April 17, 2024 @ 7:19 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.