Bill To:


Valerie Valdez
8507 Rose Manor Dr
Houston, TX 77095

Services Rendered To:


Valerie Valdez
8507 Rose Manor Dr
Houston, TX 77095


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Product
Price
Qty
Amount
  1. 405 Medical Extrication – Lvl 1

    Patient

    Valerie Valdez
    8507 Rose Manor Dr
    Houston, TX 77095

    $500.00
    1
    $500.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 723 I10 W- Sealy, TX

Subtotal $500.00
Total Due $500.00


Updated
July 18, 2023 @ 11:59 am

Invoice updated by Geoffrey.