Bill To:


American Agencies
P.O. Box 143279
Irving, TX 75014

Services Rendered To:


Thomas Barboza
441 Leaf Lane
New Braunfels, TX 78130

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-HS-403-2021-328 08/05/2021 08/09/2021 On Receipt McQueeney V.F.D.

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

    $350.00
    1
    $350.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  5. 204 Flare (# Used)

    $8.00
    2
    $16.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00
  7. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  8. 202 Oil Absorbent Sheet (# Used)

    $2.50
    2
    $5.00
  9. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  11. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 4900 Block of FM 725 - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution NO. 4521

Subtotal $1,127.00
Total Due $1,127.00


Updated
August 8, 2021 @ 5:30 pm

Invoice updated by Geoffrey.

Status Update
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Updated
September 2, 2021 @ 6:11 pm

Invoice updated by Geoffrey.

Updated
September 2, 2021 @ 6:11 pm

Invoice updated by Geoffrey.

Updated
October 20, 2021 @ 6:31 pm

Invoice updated by Geoffrey.

Updated
November 11, 2021 @ 6:13 pm

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