Bill To:


Home State County Mutual Insurance
P.O. Box 8036
Waco, TX 76714-8036

Services Rendered To:


Erica Torres
1603 Evans
Marshall, TX 75670
POLICY# X42M-40055515-0005


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

    $500.00
    1.5
    $750.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.5
    $375.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1.5
    $300.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 205 Foam (Per Gallon)

    $65.00
    3
    $195.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00
  7. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00
  8. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Loop 390 & Sue Bell Lake Rd- Marshall, TX

Subtotal $2,080.00
Total Due $2,080.00


Updated
November 12, 2023 @ 10:58 pm

Invoice updated by Geoffrey.

Status Update
November 12, 2023 @ 10:58 pm

Status changed: Draft to Pending.