Bill To:


Mark Blackstone
3900 Lakeside Drive
The Colony, TX 75056

Services Rendered To:


Mark Blackstone
3900 Lakeside Drive
The Colony, Texas 75056


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Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    2.25
    $675.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2.25
    $337.50
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2.25
    $337.50
  4. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  6. 310 Hydraulic Tool (# Used)

    $200.00
    3
    $600.00
  7. 206 Latex Gloves (Pairs Used)

    $2.00
    20
    $40.00
  8. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00
  9. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.25
    $225.00
  10. 327 Windshield Kit (# Used)

    $25.00
    1
    $25.00
  11. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00
  12. 408 Air Medical Landing Zone (Used)

    $250.00
    1
    $250.00

  13. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 281 S. @ Honey Creek Bridge - Hamilton County, Texas

Subtotal $3,075.00
Total Due $3,075.00


Updated
August 25, 2021 @ 4:57 pm

Invoice updated by Geoffrey.