Bill To:


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

Services Rendered To:


Dany Ariel Azanon Vail
4301 Windsor Dr
Garland, TX 75042
POLICY# RPEG15618-00

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-CN-310-24-3483 05/22/2024 05/28/2024 On Receipt Lavon VFD

Product
Price
Qty
Amount
  1. 101 Aerial/Ladder Response (Per Hour)

    $550.00
    1
    $550.00
  2. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  3. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Main St & McClenndon Dr- Lavon, TX

    Ordinance Info: City of Lavon Resolution NO. 2020-03-01

Subtotal $1,016.00
Total Due $1,016.00


Updated
May 28, 2024 @ 12:53 pm

Invoice updated by Geoffrey.

Status Update
May 28, 2024 @ 12:53 pm

Status changed: Draft to Pending.