Bill To:


Consumers County Mutual Insurance
4245 N. Central Expressway, Suite 500
Dallas, TX 75205

Services Rendered To:


Deanna Lawson
7731 Vacek Meadows Loop
Richmond, Texas 77469
Policy # 6009753192221


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

    $300.00
    1
    $300.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 2977 & Psencik Road - Richmond, Texas

Subtotal $806.00
Total Due $806.00


Updated
March 23, 2022 @ 2:55 pm

Invoice updated by Geoffrey.

Status Update
March 23, 2022 @ 2:55 pm

Status changed: Draft to Pending.

Updated
March 23, 2022 @ 2:56 pm

Invoice updated by Geoffrey.