Bill To:


USAA
9800 Fredericksburg Rd.
San Antonio, TX 78288

Services Rendered To:


Deborah Flournoy
Huntington, TX 75949
VIN# 3N1AB7AP8HY299731
License Plate# RHB5638

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AC-409-22-182 10/05/2022 10/13/2022 On Receipt City of Huntington VFD

Product
Price
Qty
Amount
  1. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  2. 410 Fire Department Response Fee – Lvl 1

    $200.00
    1
    $200.00
  3. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 844 & Hwy 69S- Huntington, TX

Subtotal $550.00
Total Due $550.00


Updated
October 13, 2022 @ 4:23 pm

Invoice updated by Geoffrey.

Status Update
October 13, 2022 @ 4:23 pm

Status changed: Draft to Pending.

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January 11, 2024 @ 3:26 pm

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April 30, 2024 @ 2:58 pm

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