Bill To:


Texas Farm Bureau Insurance Companies
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:


James Knoll
Policy# 23182335


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

    $350.00
    3
    $1,050.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    3
    $900.00
  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    6
    $600.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Hwy 8 @ CR 2459

Subtotal $2,815.00
Total Due $2,815.00
Updated
September 12, 2019 @ 6:16 pm

Invoice updated by Karen Smith.

Status Update
September 12, 2019 @ 6:16 pm

Status changed: Draft to Pending.

Updated
September 12, 2019 @ 8:51 pm

Invoice updated by Karen Smith.