Bill To:


Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


William Wright
21815 County Rd 3211
Overton, TX 75684
POLICY# RMC3291


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00
  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  7. 203 Oil Boom (# Used)

    $20.00
    2
    $40.00
  8. 201 Oil Absorbent Material (# Used)

    $35.00
    5
    $175.00
  9. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 120 US-80- Gladewater, TX

Subtotal $1,449.00
Total Due $1,449.00


Updated
March 1, 2023 @ 12:16 pm

Invoice updated by Geoffrey.

Status Update
March 1, 2023 @ 12:16 pm

Status changed: Draft to Pending.

Viewed
April 17, 2024 @ 7:34 pm

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