Bill To:


Desta Duguma
522 Wildwood Dr
Murphy, TX 75094

Services Rendered To:


Desta Duguma
522 Wildwood Dr
Murphy, TX 75094
POLICY# 945286895

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-201-C23-2723 01/31/2023 03/27/2023 On Receipt Angus Vol. Fire Department

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

Product
Price
Qty
Amount
  1. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00
  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  4. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 220 SB IH 45- Richland, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,050.00
Total Due $1,050.00


Updated
March 27, 2023 @ 3:18 pm

Invoice updated by Geoffrey.

Status Update
March 27, 2023 @ 3:18 pm

Status changed: Draft to Pending.

Updated
August 22, 2023 @ 10:22 am

Invoice updated by Geoffrey.

Viewed
March 29, 2024 @ 9:07 pm

Invoice viewed by 66.249.72.4 for the first time.