Bill To:


Redpoint County Mutual Insurance Co.
13215 Bee Cave Parkway
Bldg. 2, Suite 150
Austin, TX 78738

Services Rendered To:


Luis Lara Miranda
9600 Royal Lane #713
Dallas, TX 75243
POLICY# 44 PPA 0135751

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-GV-301-24-4069 03/20/2024 03/26/2024 On Receipt Dew VFD

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

    $400.00
    1.5
    $600.00
  2. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I45 & 191- Teague, TX

Subtotal $1,000.00
Total Due $1,000.00


Updated
March 26, 2024 @ 1:49 pm

Invoice updated by Geoffrey.

Status Update
March 26, 2024 @ 1:49 pm

Status changed: Draft to Pending.

Viewed
July 23, 2024 @ 10:26 am

Invoice viewed by 173.252.107.113 for the first time.