Bill To:


Loya Insurance Company
1800 Lee Trevino Drive, Ste. 201
El Paso, TX 79936

Services Rendered To:


Christian Myles Brewer
Policy # 66639539854

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-201-C20-25727-E 11/13/2020 03/22/2021 On Receipt Angus Vol. Fire Department

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

    Merry Elliott

    $1,500.00
    1
    $1,500.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 223 Southbound @ Interstate Highway 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization Item NO. 7

Subtotal $1,500.00
Total Due $1,500.00


Updated
March 19, 2021 @ 7:21 pm

Invoice updated by Geoffrey.

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Updated
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Invoice updated by Geoffrey.

Updated
September 29, 2021 @ 6:10 pm

Invoice updated by Geoffrey.

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