Bill To:


Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


Emily Hemenway
520 CR 121
Gainesville, TX 76240
POLICY# 23242711


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 102 Engine Response (Per Hour)

    $1,000.00
    1
    $1,000.00
  3. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1
    $500.00
  4. 314 Cribbing – Lvl 1 (Passenger Vehicle) (Used)

    $100.00
    1
    $100.00
  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  6. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  7. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00
  8. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  9. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00
  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  11. 207 Wetting Agent (Amt Used)

    $25.00
    1
    $25.00
  12. 327 Windshield Kit (# Used)

    $25.00
    1
    $25.00
  13. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  14. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1765 FM 2896- Gainesville, TX

Subtotal $2,825.00
Total Due $2,825.00


Updated
January 19, 2023 @ 4:05 pm

Invoice updated by Geoffrey.

Status Update
January 19, 2023 @ 4:05 pm

Status changed: Draft to Pending.