Bill To:


Peerless Insurance
PO Box 8851
Camp Hill, PA 17001

Services Rendered To:


Mohammad Eljindi
6308 Windcrest Dr. #2924
Plano, Texas 75024
Policy # 7842J189845


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  3. 420 Motor Vehicle Accident Response Fee

    $100.00
    1
    $100.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: MM 217 Northbound on Interstate 45N

    Ordinance Info: City of Angus Billing Authorization Item # 7

Subtotal $500.00
Total Due $500.00


Updated
March 11, 2021 @ 3:12 pm

Invoice updated by Geoffrey.

Status Update
March 11, 2021 @ 3:12 pm

Status changed: Draft to Pending.

Updated
September 29, 2021 @ 1:18 pm

Invoice updated by Geoffrey.

Updated
October 21, 2021 @ 2:46 pm

Invoice updated by Geoffrey.

Updated
October 28, 2021 @ 7:19 pm

Invoice updated by Geoffrey.