Bill To:


Nikole Pettey
114 Seidel Street
Marion, TX 78124

Services Rendered To:


Nickole Pettey
114 Seidel Street
Marion, Texas 78124

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-HS-403-2020-0444-B 11/05/2020 02/13/2021 On Receipt McQueeney V.F.D.

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

    $300.00
    1.25
    $375.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  5. 201 Oil Absorbent Material (# Used)

    $35.00
    10
    $350.00
  6. 324 Traffic Cone (# Used)

    $5.00
    10
    $50.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 78 and FM 1044 - Marion, Texas

Subtotal $1,228.50
Total Due $1,228.50


Updated
February 12, 2021 @ 10:24 pm

Invoice updated by Geoffrey.

Updated
February 12, 2021 @ 10:32 pm

Invoice updated by Geoffrey.

Viewed
October 24, 2022 @ 7:52 am

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