Bill To:


Ivan Paulouski
12510 Stoney Creek Dr
Pearland, TX 77584

Services Rendered To:


Ivan Paulouski
12510 Stoney Creek Dr
Pearland, TX 77584
POLICY# 000000429236785


*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  7. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  8. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 1462 & CR 528- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $1,415.00
Total Due $1,415.00


Updated
June 23, 2023 @ 11:14 am

Invoice updated by Geoffrey.

Updated
March 30, 2024 @ 12:06 pm

Invoice updated by Geoffrey.