Bill To:


TPINE LEASING CAPITAL CORP.
12090 104 Ave
Surrey, BC V3V 3H3
CA

Services Rendered To:


TPINE Leasing Capital Corp.
12227 75th Avenue
Surrey, British Columbia V3W257
Driver: Shergill Gurpreetsingh
Policy # 2NT92CPY

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-PZ-402-2021-423-B 11/06/2021 11/16/2021 On Receipt O'Donnell V.F.D.

*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

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

    $350.00
    2.75
    $962.50
  2. 103 Rescue Response (Per Hour)

    $300.00
    2.75
    $825.00
  3. 102 Engine Response (Per Hour)

    $350.00
    2.75
    $962.50
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 404 Scene Lighting (Per Hour)

    $75.00
    2.75
    $206.25
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.75
    $275.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Loop 76 & US Highway 87 - O'Donnell, Texas

Subtotal $3,481.25
Total Due $3,481.25


Updated
November 16, 2021 @ 12:26 pm

Invoice updated by Geoffrey.

Updated
November 16, 2021 @ 12:26 pm

Invoice updated by Geoffrey.

Updated
June 11, 2022 @ 1:49 pm

Invoice updated by Karen Smith.

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Updated
June 11, 2022 @ 2:02 pm

Invoice updated by Karen Smith.

Updated
September 12, 2022 @ 7:03 pm

Invoice updated by Geoffrey.

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Invoice viewed by 64.124.8.42 for the first time.

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