Bill To:


Red Point County Insurance
13215 Bee Cave Parkway, Bldg. B, Ste. 240
Austin, TX 78738

Services Rendered To:


Bob & Laurie Petty
8400 SW CR 0080
Corsicana, Tx 75110
Policy # 44PPA0024262

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-201-C20-28370 12/18/2020 03/12/2021 On Receipt Angus Vol. Fire Department

Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  2. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    5
    $10.00
  4. 232 N95 Mask (Per Unit/Per Use)

    $10.00
    5
    $50.00
  5. 420 Motor Vehicle Accident Response Fee

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Southbound Service Road @ MM 227 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization Item # 7

Subtotal $560.00
Total Due $560.00


Updated
March 11, 2021 @ 5:44 pm

Invoice updated by Geoffrey.

Status Update
March 11, 2021 @ 5:44 pm

Status changed: Draft to Pending.

Updated
March 11, 2021 @ 5:57 pm

Invoice updated by Geoffrey.

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