Bill To:


GERMANIA INSURANCE COMPANY
507 Hwy. 290 E
Brenham, TX 77833

Services Rendered To:


Kenneth Bevis
300 McCreary Apt.# 1308
Wylie, Texas 75098
Policy # 4-304-3191366


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

    $350.00
    1
    $350.00
  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  4. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 and Lake Road - Lavon, Texas

    Ordinance Info: City of Lavon Resolution # 2020-03-01

Subtotal $750.00
Total Due $750.00
Updated
December 17, 2020 @ 1:13 pm

Invoice updated by Geoffrey.

Status Update
December 17, 2020 @ 1:13 pm

Status changed: Draft to Pending.

Viewed
June 24, 2021 @ 4:41 pm

Invoice viewed by Karen Smith (KarenS) for the first time.

Viewed
November 2, 2023 @ 5:22 am

Invoice viewed by 121.74.168.27 for the first time.