Bill To:


CBCS
P.O. Box 28
Dubuque, IA 52004

Services Rendered To:


Taylor Palacios
917 Hwy 80, Apt. 8107
Mesquite, TX 75150
Policy # 0253411427102


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

    $400.00
    1
    $400.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 & Highway 6 - Lavon, Texas

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

Subtotal $500.00
Total Due $500.00


Updated
April 21, 2022 @ 6:38 pm

Invoice updated by Geoffrey.

Status Update
April 21, 2022 @ 6:38 pm

Status changed: Draft to Pending.

Updated
June 14, 2022 @ 5:48 pm

Invoice updated by Geoffrey.