Bill To:


Public Automotive Texas Insurance
1411 W Marshall Ave
Longview, TX 75604

Services Rendered To:


Dyamond Weathersby
503 Harper Dr
Marshall, TX 75672

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-KB-403-23-9916 04/27/2023 05/01/2023 On Receipt Woodlawn Fire Department

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

    $150.00
    1
    $150.00
  2. 390 Winch

    $50.00
    1
    $50.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 965 Baker Bridge Rd- Marshall, TX

Subtotal $200.00
Total Due $200.00


Updated
May 1, 2023 @ 6:26 pm

Invoice updated by Geoffrey.

Status Update
May 1, 2023 @ 6:26 pm

Status changed: Draft to Pending.

Updated
May 15, 2023 @ 12:41 pm

Invoice updated by Geoffrey.

Updated
May 15, 2023 @ 12:42 pm

Invoice updated by Geoffrey.