Bill To:


HUDSON INSURANCE
100 WILLIAM STREET -5TH FLOOR
NEW YORK, NY 10038-5044

Services Rendered To:


Asphalt Transport Inc.
17311 Market Street
Channelview, TX 77530
Policy # HMU200095-05


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

    $300.00
    6.5
    $1,950.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    6.5
    $1,950.00
  3. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00
  4. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00
  5. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  6. 317 Rescue Struts (# Used)

    $50.00
    1
    $50.00
  7. 404 Scene Lighting (Per Hour)

    $75.00
    6.5
    $487.50
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    6.5
    $650.00
  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  10. Additional Incident Info

    Incident Type: MVA w/Entrapment Response

    Incident Location: MM 224.5 Northbound on IH 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $5,622.50
Total Due $5,622.50


Updated
March 30, 2022 @ 5:34 pm

Invoice updated by Geoffrey.

Status Update
March 30, 2022 @ 5:34 pm

Status changed: Draft to Pending.