Bill To:


Timothy & Catherine Ingraham
6831 Briar Road
Azle, TX 76020

Services Rendered To:


Timothy & Catherine Ingraham
6831 Briar Road
Azle, Texas 76020
Policy # 886 399 800


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Product
Price
Qty
Amount
  1. 104 Tanker Response (Per Hour)

    $300.00
    2
    $600.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00
  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00
  7. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00
  8. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 7120 Briar Road - Azle, Texas

Subtotal $1,668.00
Total Due $1,668.00


Updated
July 23, 2021 @ 7:25 pm

Invoice updated by Geoffrey.

Updated
June 12, 2022 @ 3:18 pm

Invoice updated by Karen Smith.

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June 12, 2022 @ 3:18 pm

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

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October 31, 2023 @ 4:34 pm

Invoice viewed by 77.99.141.214 for the first time.