Bill To:


Maximum Tank Transport
8615 Triangle Drive
Amarillo, TX 79108

Services Rendered To:


Maximum Tank Transport
8615 Triangle Drive
Amarillo, TX 79108
Policy # WRPT2150043

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-PZ-402-2021-425-A 11/15/2021 11/16/2021 On Receipt O'Donnell V.F.D.

*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND IGNORED. THIS IS NOW YOUR RESPONSIBILITY. ***

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

    $300.00
    1.25
    $375.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50
  3. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00
  4. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 213 & US Highway 87 - O'Donnell, Texas

Subtotal $1,406.25
Total Due $1,406.25


Updated
November 16, 2021 @ 2:17 pm

Invoice updated by Geoffrey.

Status Update
November 16, 2021 @ 2:17 pm

Status changed: Draft to Pending.

Updated
August 4, 2022 @ 4:27 pm

Invoice updated by Geoffrey.