Bill To:


Mercury County Mutual Insurance
P.O. Box 203010
Austin, TX 78720-3010

Services Rendered To:


David Lopez
DBA- Spring Hill Plumbing
Claim # TXBA-00012360


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

    $350.00
    1.25
    $437.50
  2. 104 Tanker Response (Per Hour)

    $300.00
    1.25
    $375.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  5. 209 Extinguisher (# Used)

    $50.00
    2
    $100.00
  6. 205 Foam (Per Gallon)

    $65.00
    5
    $325.00
  7. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  8. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  9. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00
  10. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  11. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 604 Cottonwood - White Oak, Texas

    Ordinance Info: White Oak Ordinance NO. 2021-02

Subtotal $1,937.50
Total Due $1,937.50


Updated
May 27, 2021 @ 7:49 pm

Invoice updated by Geoffrey.

Status Update
May 27, 2021 @ 7:49 pm

Status changed: Draft to Pending.

Updated
May 27, 2021 @ 7:56 pm

Invoice updated by Geoffrey.

Updated
May 27, 2021 @ 7:57 pm

Invoice updated by Geoffrey.

Updated
August 30, 2021 @ 4:55 pm

Invoice updated by Geoffrey.