Bill To:


DG Logistics
100 Mission Ridge Drive
Goodlettsville, TN 37072

Services Rendered To:


DG Logistics
2595 Goliad Street
Beaumont, TX 77701
Policy # ISA H25544171

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AC-309-22-67 05/28/2022 06/01/2022 On Receipt Zavalla Fire Department

*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

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

    $300.00
    1.25
    $375.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hazel Street and Truett Street - Zavalla, Texas

Subtotal $500.00
Total Due $500.00


Updated
June 1, 2022 @ 2:38 pm

Invoice updated by Geoffrey.

Status Update
June 1, 2022 @ 2:38 pm

Status changed: Draft to Pending.

Updated
June 1, 2022 @ 2:39 pm

Invoice updated by Geoffrey.

Updated
September 22, 2022 @ 3:04 pm

Invoice updated by Geoffrey.

Viewed
October 25, 2022 @ 5:57 pm

Invoice viewed by 64.124.8.36 for the first time.

Viewed
December 28, 2022 @ 7:48 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.