Bill To:


SRA Trucking, Inc.
4085 CR 4701
Troup, TX 75789

Services Rendered To:


SRA Trucking, Inc.
4085 CR 4701
Troup, Texas 75789
Policy # IL000056

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-201-2020-27464 12/06/2020 02/09/2021 On Receipt Angus Vol. Fire Department

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

Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    1.5
    $450.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00
  5. 232 N95 Mask (Per Unit/Per Use)

    $10.00
    8
    $80.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 223 South Bound I-45 - Angus, Texas

Subtotal $1,146.00
Total Due $1,146.00


Updated
February 9, 2021 @ 1:07 am

Invoice updated by Geoffrey.

Status Update
February 9, 2021 @ 1:07 am

Status changed: Draft to Pending.

Updated
March 17, 2022 @ 3:41 pm

Invoice updated by Geoffrey.

Updated
March 17, 2022 @ 3:42 pm

Invoice updated by Geoffrey.

Updated
March 17, 2022 @ 3:43 pm

Invoice updated by Geoffrey.

Viewed
October 24, 2022 @ 10:54 pm

Invoice viewed by 64.124.8.27 for the first time.