Bill To:


Jennifer Akin
224 FCR #911
Mexia, TX 75860

Services Rendered To:


Jennifer Winsor Akin
224 FCR 911
Mexia, TX 76667
POLICY# 924621108


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

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $476.75
    1
    $476.75
  2. 103 Rescue Response (Per Hour)

    $0.00
    1.5
    $0.00
  3. 206 Latex Gloves (Pairs Used)

    $0.00
    8
    $0.00
  4. 404 Scene Lighting (Per Hour)

    $0.00
    1.5
    $0.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $0.00
    1.5
    $0.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 13000 St Hwy 14- Richland, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $476.75
Total Due $476.75


Updated
March 27, 2023 @ 3:35 pm

Invoice updated by Geoffrey.

Status Update
March 27, 2023 @ 3:35 pm

Status changed: Draft to Pending.

Updated
June 22, 2023 @ 2:23 pm

Invoice updated by Geoffrey.

Updated
October 3, 2023 @ 4:56 pm

Invoice updated by Geoffrey.