Bill To:


Brian Hoffman
413 Altwein Lane
New Braunfels, TX 78130

Services Rendered To:


Brian Hoffman
413 Altwein Lane
New Braunfels, TX 781330


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

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

    $350.00
    1
    $350.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 401 Debris Cleanup/Removal (# Used)

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

    $2.00
    6
    $12.00
  5. 201 Oil Absorbent Material (# Used)

    $35.00
    5
    $175.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  7. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00
  8. 330 Backboard (# Used)

    $25.00
    1
    $25.00
  9. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 725 and terminal Loop Road - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution NO. 4521

Subtotal $1,337.00
Total Due $1,337.00


Updated
May 25, 2021 @ 4:16 pm

Invoice updated by Geoffrey.

Status Update
May 25, 2021 @ 4:16 pm

Status changed: Draft to Pending.