Bill To:


Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


Taza Young
221 CR 3548
Atlanta, TX 75551
POLICY# 21841089


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

    $250.00
    1.5
    $375.00
  2. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: SH 77W- Douglasville, TX

    Ordinance Info: Douglassville Volunteer Fire Dept. Resolution

Subtotal $390.00
Total Due $390.00


Updated
November 6, 2023 @ 9:41 am

Invoice updated by Geoffrey.

Status Update
November 6, 2023 @ 9:41 am

Status changed: Draft to Pending.

Viewed
April 17, 2024 @ 7:18 pm

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