Bill To:


Ace American Insurance
436 Walnut Street
Philadelphia, PA 19106-3703

Services Rendered To:


Bailey Bark Materials
3366 FM 2259
Nacogdoches, TX 75691
POLICY# ISAH25558637


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

    $350.00
    3
    $1,050.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    3
    $900.00
  3. 330 Backboard (# Used)

    $25.00
    1
    $25.00
  4. 404 Scene Lighting (Per Hour)

    $75.00
    3
    $225.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    3
    $300.00
  6. 336 E-Flare (Per Use, # Used)

    $5.00
    5
    $25.00
  7. 324 Traffic Cone (# Used)

    $5.00
    5
    $25.00
  8. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 59 Near Woodlawn Oaks- Woodlawn, TX

Subtotal $2,800.00
Total Due $2,800.00


Updated
May 23, 2023 @ 12:15 pm

Invoice updated by Geoffrey.

Status Update
May 23, 2023 @ 12:15 pm

Status changed: Draft to Pending.