Bill To:


Roscher Emmanuel
209 Seaside Loop S
Rockport, TX 78382

Services Rendered To:


Roscher Emmanuel
209 Sea Side Loop
Rockport, TX 78382
POLICY# A7991775970


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00
  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 100 Business 35 S- Rockport, TX

Subtotal $1,330.00
Total Due $1,330.00


Updated
March 23, 2023 @ 3:54 pm

Invoice updated by Geoffrey.

Status Update
March 23, 2023 @ 3:54 pm

Status changed: Draft to Pending.

Updated
April 13, 2023 @ 10:17 am

Invoice updated by Geoffrey.