Bill To:


Hwy 71 Trucking
102 AR-108
Ashdown, AR 71822

Services Rendered To:


Four States Transport
102 Hwy 108
Ashdown, AR 71822
POLICY# 963825502


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

Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $350.00
    5.25
    $1,837.50
  2. 104 Tanker Response (Per Hour)

    $300.00
    5.25
    $1,575.00
  3. 103 Rescue Response (Per Hour)

    $300.00
    5.25
    $1,575.00
  4. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    5.25
    $525.00
  6. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US Hwy 59 N @ Suburban Acre- Marshall, TX

Subtotal $5,637.50
Total Due $5,637.50


Updated
February 20, 2023 @ 10:53 am

Invoice updated by Geoffrey.

Status Update
February 20, 2023 @ 10:53 am

Status changed: Draft to Pending.

Updated
February 6, 2024 @ 12:04 pm

Invoice updated by Geoffrey.