Bill To:


USAA CASUALTY INSURANCE
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:


Paige Phifer
2021 Chevy Tahoe
VIN. # 1GNSCRKD8MR202937
POLICY # 20210922


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00
  5. 404 Scene Lighting (Per Hour)

    $75.00
    1.5
    $112.50
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 226 Southbound on Interstate 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,207.50
Total Due $1,207.50


Updated
December 8, 2021 @ 5:49 pm

Invoice updated by Geoffrey.

Status Update
December 8, 2021 @ 5:49 pm

Status changed: Draft to Pending.