Bill To:


GARRISON PROPERTY & CASUALTY
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78288-4100

Services Rendered To:


Joe Aguilar
1316 Mink Loop
Georgetown, TX 78626
POLICY# 0395782497101

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-XV-414-23-1986 12/02/2023 12/09/2023 On Receipt Sam Bass Fire Department

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

    $200.00
    2.25
    $450.00
  2. 102 Engine Response (Per Hour)

    $500.00
    2.25
    $1,125.00
  3. 102 Engine Response (Per Hour)

    $500.00
    2.25
    $1,125.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  6. 404 Scene Lighting (Per Hour)

    $75.00
    2.25
    $168.75
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.25
    $225.00
  8. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1704 Great Oaks Dr- Round Rock, TX

    Ordinance Info: Sam Bass Fire Dept. Resolution

Subtotal $3,638.75
Total Due $3,638.75


Updated
December 9, 2023 @ 11:19 am

Invoice updated by Geoffrey.

Status Update
December 9, 2023 @ 11:19 am

Status changed: Draft to Pending.