Bill To:


USAA
9800 Fredericksburg Rd.
San Antonio, TX 78288

Services Rendered To:


Tonya Clever
1013 Jackson 19
Veh- 2007 Toyota Prius


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

    $500.00
    1
    $500.00
  2. 104 Tanker Response (Per Hour)

    $400.00
    1
    $400.00
  3. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  4. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  5. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00
  6. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1013 Jackson 19- Newport, AR

Subtotal $1,575.00
Total Due $1,575.00


Updated
August 21, 2023 @ 11:45 am

Invoice updated by Geoffrey.

Status Update
August 21, 2023 @ 11:45 am

Status changed: Draft to Pending.