Bill To:


John Torres
501 N. 5th Street
Lometa, TX 76853-2129

Services Rendered To:


John Torres
201 E. Pecan Street
Lometa, TX 76853


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Product
Price
Qty
Amount
  1. 406 Medical Extrication – Lvl 2

    Patient:

    Mark Blackstone
    3900 Lakeside Drive
    The Colony, Texas 75056

    $1,500.00
    1
    $1,500.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 281 S. @ Honey Creek Bridge - Hamilton County, Texas

Subtotal $1,500.00
Total Due $1,500.00


Updated
May 25, 2021 @ 5:06 pm

Invoice updated by Geoffrey.