Bill To:


Redpoint County Mutual Insurance Co.
13215 Bee Cave Parkway
Bldg. 2, Suite 150
Austin, TX 78738

Services Rendered To:


Jamie Bumstead
927 S. Avenue H
Clifton, Texas 76634
Policy # TXA2100139888


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

    $300.00
    1.25
    $375.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  4. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  7. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 4883 Baylor camp - crawford, Texas

Subtotal $1,162.00
Total Due $1,162.00


Updated
November 23, 2021 @ 4:40 pm

Invoice updated by Geoffrey.

Status Update
November 23, 2021 @ 4:41 pm

Status changed: Draft to Pending.