Bill To:


Liberty Mutual Insurance
175 Berkeley Street
Boston, MA 02116

Services Rendered To:


Policy# Y9659482
Tina Alcorn
15414 Stonehill Dr.
Houston, TX 77062


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

    $350.00
    2
    $700.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00
  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: W. FM 1462 and CR 527B RD., Rosharon, TX 77583

Subtotal $1,750.00
Total Due $1,750.00


Status Update
April 24, 2023 @ 11:40 am

Status changed: Pending to Paid.

Updated
April 24, 2023 @ 11:40 am

Invoice updated by Karen Smith.

Status Update
April 24, 2023 @ 11:40 am

Status changed: Draft to Pending.

Status Update
April 24, 2023 @ 11:47 am

Status changed: Paid to Pending.

Updated
April 24, 2023 @ 11:50 am

Invoice updated by Karen Smith.