Bill To:


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

Services Rendered To:


Stone Lawn Care
1440 Ashley Way
New Braunfels, Texas 78130
Policy # 0327901127101

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-HS-403-2021-428-A 09/27/2021 10/01/2021 On Receipt McQueeney V.F.D.

Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  6. 204 Flate (# Used)

    $8.00
    6
    $48.00
  7. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  8. 202 Oil Absorbent Sheet (# Used)

    $2.50
    10
    $25.00
  9. 201 Oil Absorbent Material (# Used)

    $35.00
    10
    $350.00
  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  11. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 725 & Terminal Loop - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $1,685.00
Total Due $1,685.00


Updated
September 30, 2021 @ 4:34 pm

Invoice updated by Geoffrey.

Status Update
September 30, 2021 @ 4:34 pm

Status changed: Draft to Pending.

Updated
September 30, 2021 @ 4:38 pm

Invoice updated by Geoffrey.

Updated
September 30, 2021 @ 4:40 pm

Invoice updated by Geoffrey.

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