Bill To:


Bruce Nelson
233502 Berry Pine Drive
Spring, TX 77373

Services Rendered To:


Penske Logistics, LLC
P.O. Box 563
Reading, PA 17603
Driver: Bruce Nelson
Ph# 940-923-7304
Policy # MWTB311325

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-14-2021-06553 03/19/2021 03/24/2021 On Receipt Richland Volunteer Fire Department

*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

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

    $350.00
    2.5
    $875.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    2.5
    $750.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.5
    $250.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 218 Southbound @ I-45 - Richland, Texas

    Ordinance Info: Richland Billing Ordinance NO. 170 Cost Recovery

Subtotal $2,375.00
Total Due $2,375.00


Updated
March 23, 2021 @ 4:37 pm

Invoice updated by Geoffrey.

Status Update
March 23, 2021 @ 4:37 pm

Status changed: Draft to Pending.

Updated
May 6, 2021 @ 5:40 pm

Invoice updated by Geoffrey.

Updated
June 8, 2021 @ 3:03 pm

Invoice updated by Geoffrey.

Updated
June 8, 2021 @ 3:11 pm

Invoice updated by Geoffrey.

Updated
July 15, 2021 @ 7:06 pm

Invoice updated by Geoffrey.

Updated
July 15, 2021 @ 7:07 pm

Invoice updated by Geoffrey.

Updated
August 31, 2021 @ 5:24 pm

Invoice updated by Geoffrey.

Updated
August 31, 2021 @ 5:26 pm

Invoice updated by Geoffrey.

Updated
August 31, 2021 @ 5:26 pm

Invoice updated by Geoffrey.

Updated
February 14, 2022 @ 1:41 pm

Invoice updated by Geoffrey.