Bill To:


Clearcover Insurance
33 West Monroe Street
Chicago, IL 60603

Services Rendered To:


Tammy Kirkham
4405 Whitmire Drive
Killeen, TX 76543
Policy # TX0000002216


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

    $150.00
    1.5
    $225.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  3. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00
  4. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00
  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  6. 404 Scene Lighting (Per Hour)

    $75.00
    1.5
    $112.50
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 317 & High Prairie Road - Valley Mills, Texas

Subtotal $1,937.50
Total Due $1,937.50


Updated
December 28, 2021 @ 1:54 pm

Invoice updated by Geoffrey.

Status Update
December 28, 2021 @ 1:54 pm

Status changed: Draft to Pending.

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December 28, 2021 @ 5:11 pm

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