Bill To:


MID CENTURY AUTO INSURANCE
6301 Owensmouth Ave.
Woodland Hills, CA 91367
US

Services Rendered To:


Jhaver Raagsudha
2326 Camino Del Verdes Place
Round Rock, TX 78681
POLICY# 531672164


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

    $500.00
    1
    $500.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  3. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Corner Wodd & 620- Round Rock, TX

    Ordinance Info: Sam Bass Fire Dept. Resolution

Subtotal $1,095.00
Total Due $1,095.00


Updated
July 10, 2023 @ 12:46 pm

Invoice updated by Geoffrey.

Status Update
July 10, 2023 @ 12:46 pm

Status changed: Draft to Pending.