Bill To:


First Chicago Insurance Co.
6640 S. Cicero Avenue
Bedford Park, IL 60638

Services Rendered To:


Rebecca Barnes
Policy # TXM131946-00


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. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 217 - Valley Mills, Texas

Subtotal $900.00
Total Due $900.00


Updated
December 28, 2021 @ 1:19 pm

Invoice updated by Geoffrey.

Status Update
December 28, 2021 @ 1:19 pm

Status changed: Draft to Pending.