Bill To:


Texas Farm Bureau Insurance Companies
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


Stephanie Glass
106 Greentree Dr
Crawford, TX 76638
POLICY# 23298184


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

    $300.00
    1.5
    $450.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  3. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 8256 Hwy 6- Waco, TX

Subtotal $850.00
Total Due $850.00


Updated
November 9, 2022 @ 12:01 pm

Invoice updated by Geoffrey.

Status Update
November 9, 2022 @ 12:01 pm

Status changed: Draft to Pending.