Bill To:


USAA CASUALTY INSURANCE
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:


Noel G. Buchanan
3290 Wosnig Road
Marion, Texas 78124
Policy # 0216916337101


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

    $350.00
    1.5
    $525.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  4. 332 Air Tools (# Used)

    $50.00
    1
    $50.00
  5. 218 Cervical Collar (# Used)

    $25.00
    3
    $75.00
  6. 314 Cribbing – Lvl 1 (Passenger Vehicle) (Used)

    $100.00
    5
    $500.00
  7. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  8. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.5
    $150.00
  9. 204 Flare (# Used)

    $8.00
    4
    $32.00
  10. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  11. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  12. 202 Oil Absorbent Sheet (# Used)

    $2.50
    5
    $12.50
  13. 201 Oil Absorbent Material (# Used)

    $35.00
    5
    $175.00
  14. 216 Oxygen (# Used)

    $25.00
    1
    $25.00
  15. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00
  16. 215 Trauma Kit (# Used)

    $25.00
    3
    $75.00
  17. 310 Hydraulic Tool (# Used)

    $200.00
    3
    $600.00
  18. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  19. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 6400 Block - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $3,601.50
Total Due $3,601.50


Updated
November 11, 2021 @ 6:38 pm

Invoice updated by Geoffrey.

Status Update
November 11, 2021 @ 6:38 pm

Status changed: Draft to Pending.