Bill To:


Matthew Escalante
3600 Pace Street
Greenville, TX 75401

Services Rendered To:


Matthew Escalante
3600 Pace St
Greenville, TX 75401
POLICY# 429497500


*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 101 Aerial/Ladder Response (Per Hour)

    $400.00
    1
    $400.00
  3. 401 Debris Cleanup/Removal (# Used)

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

    $2.00
    4
    $8.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: SH 205 & SH78- Lavon, TX

    Ordinance Info: City of Lavon Resolution NO. 2020-03-01

Subtotal $908.00
Total Due $908.00


Updated
October 5, 2022 @ 5:16 pm

Invoice updated by Geoffrey.

Updated
November 5, 2022 @ 7:44 pm

Invoice updated by Geoffrey.

Updated
November 5, 2022 @ 7:44 pm

Invoice updated by Geoffrey.