Bill To:


Travelers Insurance
P.O. Box 650293
Dallas, TX 75265-0293

Services Rendered To:


Frost Crushed Stone
P.O. Box 272
Mexia, Texas 76667
Policy # N/A At Scene


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

    $350.00
    2
    $700.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  3. 205 Foam (Per Gallon)

    $65.00
    2
    $130.00
  4. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00

  5. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: FM 1771 - 1 Mile North of State Highway 7 - Stranger, Texas

Subtotal $1,180.00
Total Due $1,180.00


Updated
September 14, 2022 @ 8:21 pm

Invoice updated by Geoffrey.

Status Update
September 14, 2022 @ 8:21 pm

Status changed: Draft to Pending.

Viewed
October 25, 2022 @ 5:49 pm

Invoice viewed by 64.124.8.36 for the first time.