Bill To:


Infinity County Mutual
3700 Colonade Parkway
Birmingham, AL 35243

Services Rendered To:


Joann Saenz
409 Country Acres Drive
Sequin, Texas 78155
POLICY # 142560575999001


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. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  5. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  6. 218 Cervical Collar (# Used)

    $25.00
    2
    $50.00
  7. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  8. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00
  9. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  10. 204 Flate (# Used)

    $8.00
    4
    $32.00
  11. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  12. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  13. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  14. 201 Oil Absorbent Material (# Used)

    $35.00
    5
    $175.00
  15. 216 Oxygen (# Used)

    $25.00
    1
    $25.00
  16. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  17. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  18. 215 Trauma Kit (# Used)

    $25.00
    2
    $50.00
  19. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00
  20. 330 Backboard (# Used)

    $25.00
    1
    $25.00

  21. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Terminal Loop and FM 725 Intersection - McQueeney, Texas

    Ordinance Info: RESOLUTION-McQueeney Cost Recovery Resolution 4521

Subtotal $2,524.00
Total Due $2,524.00


Updated
August 17, 2022 @ 4:35 pm

Invoice updated by Geoffrey.

Status Update
August 17, 2022 @ 4:35 pm

Status changed: Draft to Pending.