Bill To:


Kaitlyn Lemba
2900 Wildflower Rd #4233
Sealy, TX 77474

Services Rendered To:


Kaitlyn Lemba
2900 Wildflower Rd #4233
Sealy, TX 77474

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AK-305-24-784935 06/02/2024 06/06/2024 On Receipt San Felipe Frydek V.F.D.

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

    $500.00
    1
    $500.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00
  4. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  7. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 1458/ Sealy Rd- San Felipe, TX

Subtotal $1,565.00
Total Due $1,565.00


Updated
June 6, 2024 @ 1:34 pm

Invoice updated by Geoffrey.

Status Update
June 6, 2024 @ 1:34 pm

Status changed: Draft to Pending.

Viewed
June 6, 2024 @ 4:33 pm

Invoice viewed by Ken Kramer (kkramer) for the first time.

Viewed
June 7, 2024 @ 11:10 am

Invoice viewed by Sherry Fels (Sherryf) for the first time.