Bill To:


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

Services Rendered To:


Isabella Grace Griffis
317 Norwood Court
Schertz, Texas 78108
Policy # 014553130U-71067


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
    4
    $32.00
  7. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00
  8. 201 Oil Absorbent Material (# Used)

    $35.00
    10
    $350.00
  9. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  11. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  12. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 78 & FM 1620 - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $1,977.00
Total Due $1,977.00


Updated
October 7, 2021 @ 2:29 pm

Invoice updated by Geoffrey.

Status Update
October 7, 2021 @ 2:29 pm

Status changed: Draft to Pending.