Bill To:


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

Services Rendered To:


Kristin Olszewski
2213 Huntington
Wylie, Texas 75078
Policy # 009090553R71010


Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    Squad 1

    $150.00
    1
    $150.00
  2. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Lake Road and Moore Road - Lavon, Texas

    Ordinance Info: CITY OF LAVON TEXAS - RESOLUTION NO. 2020-03-01

Subtotal $258.00
Total Due $258.00
Updated
June 17, 2020 @ 2:48 pm

Invoice updated by Karen Smith.

Status Update
June 17, 2020 @ 2:48 pm

Status changed: Draft to Pending.

Viewed
October 23, 2022 @ 12:21 am

Invoice viewed by 64.124.8.29 for the first time.