Bill To:


Berkshire Hathaway GUARD
P.O. BOX AH
Wilkes-Barre, PA 18701

Services Rendered To:


Turner Louis
236 Alexander Avenue
San Antonio, Texas 78201
Policy # MAAV293176

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-HS-403-2022-17-EE 01/13/2022 01/19/2022 On Receipt McQueeney V.F.D.

Product
Price
Qty
Amount
  1. 405 Medical Extrication – Lvl 1

    Patient:

    Glenwood Warncke
    338 Spyglass
    McQueeney, TX 78123
    Policy # PA206933204

    $500.00
    1
    $500.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 6000 Block of FM 725 - McQueeney, Texas

    Ordinance Info: RESOLUTION-McQueeney Cost Recovery Resolution 4521

Subtotal $500.00
Total Due $500.00


Updated
January 18, 2022 @ 4:55 pm

Invoice updated by Geoffrey.

Viewed
October 24, 2022 @ 10:32 pm

Invoice viewed by 64.124.8.27 for the first time.