Bill To:


Amax Auto Insurance
3030 N. stemmons Freeway, Suite B
Dallas, TX 75247

Services Rendered To:


Luis Porras
3499 Ranch Rd 520 S #7303
Austin, TX 78738
POLICY# PRH01031609


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

    $200.00
    1.25
    $250.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  3. 102 Engine Response (Per Hour)

    $500.00
    1.25
    $625.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.25
    $125.00
  6. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  8. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 723 WB- Sealy, TX

Subtotal $2,031.25
Total Due $2,031.25


Updated
January 25, 2024 @ 10:38 am

Invoice updated by Geoffrey.

Status Update
January 25, 2024 @ 10:38 am

Status changed: Draft to Pending.