Bill To:


Freeway Insurance
7711 Center Avenue # 200
Huntington Beach, CA 92647

Services Rendered To:


Emmitt Williams
8715 York Street
Dallas, Texas 75210
Policy # PRH01011778


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

    $350.00
    1.75
    $612.50
  2. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 & Lake Road - Lavon, Texas

    Ordinance Info: City of Lavon - Resolution NO. 2020-03-01

Subtotal $1,079.50
Total Due $1,079.50


Updated
January 25, 2022 @ 3:41 pm

Invoice updated by Geoffrey.

Status Update
January 25, 2022 @ 3:41 pm

Status changed: Draft to Pending.

Updated
January 25, 2022 @ 3:41 pm

Invoice updated by Geoffrey.

Updated
June 29, 2022 @ 5:05 pm

Invoice updated by Geoffrey.

Viewed
October 25, 2022 @ 9:40 am

Invoice viewed by 64.124.8.56 for the first time.