Bill To:


DAIRYLAND INSURANCE
1800 NORTH POINT DRIVE
STEVENS POINT, WI 54481-1253

Services Rendered To:


Jimmy Pinner
1082 Shop Branch Road
Huntington, Tx 75949
POLICY # 11407182306


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 11795 Highway 69 South - Huntington, Texas

Subtotal $400.00
Total Due $400.00


Updated
May 12, 2022 @ 1:52 pm

Invoice updated by Geoffrey.

Status Update
May 12, 2022 @ 1:52 pm

Status changed: Draft to Pending.

Updated
May 12, 2022 @ 1:55 pm

Invoice updated by Geoffrey.