Bill To:


American Access Casualty
2211 Butterfield Road, Suite 200
Downers Grove, IL 60515

Services Rendered To:


Luis Gerardo Zapata
P.O. Box 857
Donna, TX 78537
POLICY# 42 AU000904459


Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  2. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 227 NB IH 45- Navarro Co, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $699.50
Total Due $699.50


Updated
May 17, 2023 @ 4:12 pm

Invoice updated by Geoffrey.

Status Update
May 17, 2023 @ 4:12 pm

Status changed: Draft to Pending.

Viewed
March 29, 2024 @ 11:59 pm

Invoice viewed by 66.249.72.4 for the first time.