Bill To:


AAA Insurance
1000 AAA Drive
Heathrow, FL 32746-AAA

Services Rendered To:


Vehicle Owner
License # 1N1-5938
POLICY # TPA 115086581

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-201-C22-22207B 09/01/2022 09/20/2022 On Receipt Angus Vol. Fire Department

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

    $300.00
    1
    $300.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 222 SB IH 45 Service Rd - Angus, Tx

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $400.00
Total Due $400.00


Updated
September 19, 2022 @ 4:57 pm

Invoice updated by Geoffrey.

Status Update
September 19, 2022 @ 4:57 pm

Status changed: Draft to Pending.

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