Bill To:


Lorene Jones
242 CR 4823
Ben Wheeler, TX 75754

Services Rendered To:


Policy# 141 6813-U02-43D 001
Lorene Jones
242 CR 4823
Ben Wheeler, TX 75754-4296


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Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  2. 102 Engine Response (Per Hour)

    $350.00
    2
    $700.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    2
    $200.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 551 CR 4821, Ben Wheeler, TX

Subtotal $1,956.00
Total Due $1,956.00


Updated
January 17, 2023 @ 3:22 pm

Invoice updated by Karen Smith.

Status Update
January 17, 2023 @ 3:22 pm

Status changed: Draft to Pending.

Updated
May 10, 2023 @ 11:40 am

Invoice updated by Geoffrey.

Viewed
May 10, 2023 @ 11:41 am

Invoice viewed by GEOFFREY SMITH (Geoffrey) for the first time.