Bill To:


Acord Insurance
1 Blue Hill Plaza PO Box 1529
Pearl River, NY 10965

Services Rendered To:


Oscar Patino
28603 Hazel Trail
Katy, TX 77494


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  2. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1458/ Railroad Tracks- San Felipe, TX

Subtotal $1,080.00
Total Due $1,080.00


Updated
July 18, 2023 @ 12:05 pm

Invoice updated by Geoffrey.

Status Update
July 18, 2023 @ 12:05 pm

Status changed: Draft to Pending.

Updated
August 3, 2023 @ 11:56 am

Invoice updated by Geoffrey.