Bill To:


GERMANIA INSURANCE COMPANY
507 Hwy. 290 E
Brenham, TX 77833

Services Rendered To:


Wade Kelly
7341 SECR 3045
Corsicana, TX 75109
POLICY# 2-302-3382400


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

    $500.00
    1.25
    $625.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    1.25
    $500.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  4. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00
  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 2874 & 294- Corsicana, TX

Subtotal $1,852.50
Total Due $1,852.50


Updated
March 26, 2024 @ 2:35 pm

Invoice updated by Geoffrey.

Status Update
March 26, 2024 @ 2:35 pm

Status changed: Draft to Pending.