Bill To:


Wichita Area Team Comm. Help, Inc.
840 North Wabash
Wichita, TX 67214

Services Rendered To:


Wichita Area Team Comm. Help, Inc.
840 North Wabash
Wichita, TX 67214
Policy # 026712380
Claim # 213410132


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

Product
Price
Qty
Amount
  1. 406 Medical Extrication – Lvl 2

    Patient: 4 – Patients Extricated

    Natalie Feagin
    Ph # 440-566-5242
    2014 Freightliner
    VIN # 3AKJGLD65ESFV1109
    POLICY # 026712380

    $1,500.00
    1
    $1,500.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 226 Southbound Interstate 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,500.00
Total Due $1,500.00


Updated
February 22, 2021 @ 4:12 pm

Invoice updated by Geoffrey.

Updated
May 29, 2021 @ 4:35 pm

Invoice updated by Geoffrey.

Updated
July 15, 2021 @ 2:46 pm

Invoice updated by Geoffrey.

Updated
July 15, 2021 @ 2:47 pm

Invoice updated by Geoffrey.

Updated
August 31, 2021 @ 4:49 pm

Invoice updated by Geoffrey.

Updated
August 31, 2021 @ 4:50 pm

Invoice updated by Geoffrey.

Updated
August 31, 2021 @ 4:51 pm

Invoice updated by Geoffrey.