Bill To:


*KEMPER INSURANCE*
PO Box 2847
Clinton, IA 52733

Services Rendered To:


Alfonso Mceachron
104 Capstone Dr
Liberty Hill, TX 78642
POLICY# 10014210501


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

    $350.00
    1
    $350.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  4. 314 Cribbing – Lvl 1 (Passenger Vehicle) (Used)

    $100.00
    1
    $100.00
  5. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    100
    $25.00
  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  8. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Liberty Walk & Oconner Dr- Round Rock, TX

Subtotal $1,355.00
Total Due $1,355.00


Updated
June 5, 2023 @ 11:13 am

Invoice updated by Geoffrey.

Status Update
June 5, 2023 @ 11:13 am

Status changed: Draft to Pending.

Updated
March 25, 2024 @ 7:11 pm

Invoice updated by Karen Smith.

Viewed
March 25, 2024 @ 7:11 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.

Updated
March 25, 2024 @ 7:23 pm

Invoice updated by Karen Smith.

Viewed
March 25, 2024 @ 7:23 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.