Bill To:


Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


Daryl Newsom
POLICY# 23455273

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-BB-326-24-105-B 05/28/2024 06/04/2024 On Receipt Rosharon VFD

Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    1
    $400.00
  3. 104 Tanker Response (Per Hour)

    $400.00
    1
    $400.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  6. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00
  7. 324 Traffic Cone (# Used)

    $5.00
    10
    $50.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 521- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $1,760.00
Total Due $1,760.00


Updated
June 4, 2024 @ 1:49 pm

Invoice updated by Geoffrey.