Bill To:


Pacific Employers Insurance
436 Walnut Street
Philadelphia, PA 19106

Services Rendered To:


Martin Transport Inc.
4200 Stone Road
Kilgore, Texas 75662
Policy # ISAH07668594


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    4.5
    $675.00
  2. 102 Engine Response (Per Hour)

    $350.00
    4.5
    $1,575.00
  3. 103 Rescue Response (Per Hour)

    $300.00
    4.5
    $1,350.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  5. 404 Scene Lighting (Per Hour)

    $75.00
    4.5
    $337.50
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    4.5
    $450.00

  7. Additional Incident Info

    Incident Type: Hazardous Material Response

    Incident Location: Highway 69 South @ BW Horton Road - Huntington, Texas

Subtotal $4,399.50
Total Due $4,399.50


Updated
June 14, 2021 @ 6:13 pm

Invoice updated by Geoffrey.

Status Update
June 14, 2021 @ 6:13 pm

Status changed: Draft to Pending.

Viewed
November 8, 2022 @ 3:37 am

Invoice viewed by 64.124.8.26 for the first time.