Bill To:


Bennett Truck Transport
801 North Second Avenue
Carbon Cliff, IL 61239

Services Rendered To:


Bennett Truck Transport
801 North Second Avenue
Carbon Cliff, IL 61239
Driver: Robert Tennison
Policy # MC285766

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AC-309-2021-50 12/08/2021 12/17/2021 On Receipt Zavalla Fire Department

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

    $300.00
    1.25
    $375.00
  2. 316 Cribbing – Lvl 3 (Class A Truck) (Used)

    $500.00
    1
    $500.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00
  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  6. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  7. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  9. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 63 in Front of High School - Zavalla, Texas

Subtotal $2,058.75
Total Due $2,058.75


Updated
December 16, 2021 @ 9:49 pm

Invoice updated by Geoffrey.

Status Update
December 16, 2021 @ 9:49 pm

Status changed: Draft to Pending.

Updated
December 16, 2021 @ 9:50 pm

Invoice updated by Geoffrey.

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