Bill To:


Infinity County Mutual
3700 Colonade Parkway
Birmingham, AL 35243

Services Rendered To:


Eleuterio Evaristo Preza
302 Daisy Drive
Granbury, Texas 76048
Policy # 142560446345001


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

    $300.00
    1.25
    $375.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Oak Hill and Crestview Drive - Granbury, Texas

Subtotal $562.50
Total Due $562.50


Updated
June 30, 2021 @ 11:25 pm

Invoice updated by Geoffrey.

Status Update
June 30, 2021 @ 11:25 pm

Status changed: Draft to Pending.