Bill To:


Old American County Mutual
P.O. Box 793747
Dallas, TX 75379

Services Rendered To:


Michael Layman
2410 Great Oaks Dr
Round Rock, TX 78681
POLICY# 15-TX9672057


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

    $500.00
    1.25
    $625.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1.25
    $250.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    100
    $25.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 2410 Great Oaks Dr Round Rock, TX 78681

    Ordinance Info: Sam Bass Fire Dept. Resolution

Subtotal $1,587.50
Total Due $1,587.50


Updated
November 3, 2023 @ 11:18 am

Invoice updated by Geoffrey.

Status Update
November 3, 2023 @ 11:18 am

Status changed: Draft to Pending.