Bill To:


Sahara Williams
13811 Tahoe Vista
San Antonio, TX 78253

Services Rendered To:


Sahara Williams
13811 Tahoe Vista
San Antonio, TX 78253
POLICY# 001259539U 7108 3


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Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  2. 317 Rescue Struts (# Used)

    $50.00
    2
    $100.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US 59 N- Marshall, TX

Subtotal $700.00
Total Due $700.00


Updated
December 28, 2023 @ 12:47 pm

Invoice updated by Geoffrey.

Status Update
December 28, 2023 @ 12:47 pm

Status changed: Draft to Pending.