Bill To:


Travelers Indemnity Co. of Connecticut
1 Tower Square
Hartford, CT 06183

Services Rendered To:


Jose Luis Campos
4430 Palestine Cove Ln
Humble, TX 77396
POLICY# HRE8409C578636TCT22


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

    $150.00
    7.25
    $1,087.50
  2. 103 Rescue Response (Per Hour)

    $300.00
    7.25
    $2,175.00
  3. 104 Tanker Response (Per Hour)

    $300.00
    7.25
    $2,175.00
  4. 104 Tanker Response (Per Hour)

    $300.00
    7.25
    $2,175.00
  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  6. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00
  7. 205 Foam (Per Gallon)

    $65.00
    5
    $325.00
  8. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  9. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00
  10. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  11. 404 Scene Lighting (Per Hour)

    $75.00
    2
    $150.00
  12. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    7.25
    $725.00
  13. 306 Hose 

    $1,507.74
    1
    $1,507.74
  14. 326 Safety Fest (# Used)

    $15.00
    5
    $75.00
  15. 302 Hand Light (# Used)

    $5.00
    4
    $20.00

  16. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 225 SB IH 45- Angus, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $10,925.24
Total Due $10,925.24


Updated
March 30, 2023 @ 2:23 pm

Invoice updated by Geoffrey.

Status Update
March 30, 2023 @ 2:23 pm

Status changed: Draft to Pending.

Updated
March 30, 2023 @ 2:36 pm

Invoice updated by Geoffrey.