Bill To:


Old American County Mutual
P.O. Box 793747
Dallas, TX 75379-3747

Services Rendered To:


Chandra Jones
1400 North Washington
Amarillo, Texas 79107
Policy # TEJ01667999-00


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    4.5
    $1,350.00
  2. 101 Aerial/Ladder Response (Per Hour)

    $400.00
    4.5
    $1,800.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    4.5
    $675.00
  4. 102 Engine Response (Per Hour)

    $350.00
    4.5
    $1,575.00
  5. 401 Debris Cleanup/Removal (# Used)

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

    $15.00
    2
    $30.00
  7. 211 Salvage Cover (Amt Used)           

    $35.00
    1
    $35.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    4.5
    $450.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US 287 South- State Highway 25 - Electra, Texas

    Ordinance Info: City of Electra Cost Recovery Ordinance

Subtotal $6,165.00
Total Due $6,165.00


Updated
February 18, 2021 @ 6:39 pm

Invoice updated by Geoffrey.

Status Update
February 18, 2021 @ 6:39 pm

Status changed: Draft to Pending.