Bill To:


Vanessa Gomez
353 Private Road 3551
Valley Mills, TX 76689

Services Rendered To:


Vanessa Gomez
353 Private Road 3551
Valley Mills, Texas 76689

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-RN-424-2021-1304 04/30/2021 05/28/2021 On Receipt Speegleville V.F.D.

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

    $300.00
    1
    $300.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

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

    $250.00
    1
    $250.00
  5. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  6. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1757 Eichelberg Crossing - Crawford, Texas

Subtotal $1,235.00
Total Due $1,235.00


Updated
May 27, 2021 @ 7:06 pm

Invoice updated by Geoffrey.

Status Update
May 27, 2021 @ 7:06 pm

Status changed: Draft to Pending.

Updated
May 27, 2021 @ 7:07 pm

Invoice updated by Geoffrey.

Viewed
October 23, 2022 @ 12:18 am

Invoice viewed by 64.124.8.29 for the first time.