Bill To:


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

Services Rendered To:


Richard Gilbert
140 Deerfield Lane
Crawford, TX 76638
Policy # 0004172017101


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

    $300.00
    1
    $300.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  5. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  6. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  7. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Baylor Camp Road & N. Highway 6 - Crawford, Texas

Subtotal $1,395.00
Total Due $1,395.00


Updated
May 27, 2021 @ 6:24 pm

Invoice updated by Geoffrey.