Bill To:


Consumers County Mutual Insurance
4245 N. Central Expressway, Suite 500
Dallas, TX 75205

Services Rendered To:


Okwuchukw Udeh
2815 Plantation Wood Ln
Missouri City, TX 77459
POLICY# 6096774972221


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

    $500.00
    2.5
    $1,250.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    2.5
    $1,000.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    2.5
    $625.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.5
    $250.00
  7. 419 Environmental Spill

    $250.00
    1
    $250.00
  8. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  9. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  10. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00

  11. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 521- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $3,987.00
Total Due $3,987.00


Updated
December 9, 2023 @ 11:31 am

Invoice updated by Geoffrey.

Status Update
December 9, 2023 @ 11:31 am

Status changed: Draft to Pending.