Bill To:


ELEPHANT INSURANCE
PO BOX 5005
GLEN ALLEN, VA 23058-5005

Services Rendered To:


Kearstin Paige
133 Pecan Loop
McQueeney, Texas 78123
Ph # 877-281-7865
Policy # N/A on scene


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

    $350.00
    1
    $350.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  6. 204 Flate (# Used)

    $8.00
    6
    $48.00
  7. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  8. 202 Oil Absorbent Sheet (# Used)

    $2.50
    10
    $25.00
  9. 201 Oil Absorbent Material (# Used)

    $35.00
    10
    $350.00
  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  11. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 725 & Terminal Loop - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $1,685.00
Total Due $1,685.00


Updated
September 30, 2021 @ 4:44 pm

Invoice updated by Geoffrey.

Updated
September 30, 2021 @ 4:44 pm

Invoice updated by Geoffrey.