Bill To:


Loya Insurance Company
P.O. Box 972450
El Paso, TX 79997

Services Rendered To:


Joshua Mullins
11355 Richmond
Houston, TX 77087
POLICY# 65659835478


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

    $500.00
    1.25
    $625.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  3. 103 Rescue Response (Per Hour)

    $400.00
    1.25
    $500.00
  4. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  5. 408 Air Medical Landing Zone (Used)

    $250.00
    1
    $250.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  7. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  8. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: CR 51-Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $2,405.00
Total Due $2,405.00


Updated
February 29, 2024 @ 7:21 pm

Invoice updated by Geoffrey.

Status Update
February 29, 2024 @ 7:21 pm

Status changed: Draft to Pending.