Bill To:


Bitco General Insurance
3700 Market Square Circle
Davenport, IA 52807

Services Rendered To:


Forestry South Logging
2090 Obrie
Zwolle, LA 71486
POLICY # CAP3716337


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

    $300.00
    1
    $300.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  3. 407 Patient Care / Evaluation (Per Patient)

    $50.00
    2
    $100.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 63 & Highway 147 - Zavalla, Texas

Subtotal $500.00
Total Due $500.00


Updated
June 2, 2022 @ 2:31 pm

Invoice updated by Geoffrey.

Status Update
June 2, 2022 @ 2:31 pm

Status changed: Draft to Pending.