Bill To:


Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


Sidney Smith
750 Adler Falls Ln
Round Rock, TX 78665
POLICY# 23498304


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

    $500.00
    1
    $500.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  5. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  7. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 620 & Pearson Ranch- Austin, TX

    Ordinance Info: Sam Bass Fire Dept. Resolution

Subtotal $1,560.00
Total Due $1,560.00


Updated
January 25, 2024 @ 11:11 am

Invoice updated by Geoffrey.

Status Update
January 25, 2024 @ 11:11 am

Status changed: Draft to Pending.

Viewed
April 17, 2024 @ 7:16 pm

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