Bill To:


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

Services Rendered To:


Ronna L. Williams
4127 Shady Springs Drive
Seabrook, Texas 77586
Driver: Stanley Cobb Williams
Policy # 009419767 7101


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

    $300.00
    1
    $300.00
  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 226 Southbound and Interstate 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $650.00
Total Due $650.00


Updated
July 27, 2021 @ 1:42 pm

Invoice updated by Geoffrey.

Status Update
July 27, 2021 @ 1:42 pm

Status changed: Draft to Pending.

Updated
July 27, 2021 @ 1:42 pm

Invoice updated by Geoffrey.