Bill To:


USAA CASUALTY INSURANCE
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:


John Simpson
605 Deline Drive
Corpus Christi, TX 78411
Policy # 009900103 7101

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-RN-424-22-1609 06/13/2022 06/14/2022 On Receipt Speegleville V.F.D.

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

    $300.00
    1.5
    $450.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State highway 6 North of Baylor Camp Road - Waco, Texas

Subtotal $550.00
Total Due $550.00


Updated
June 14, 2022 @ 11:58 am

Invoice updated by Geoffrey.

Status Update
June 14, 2022 @ 11:58 am

Status changed: Draft to Pending.

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October 24, 2022 @ 12:14 pm

Invoice viewed by 64.124.8.30 for the first time.

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