Bill To:


Gainsco Insurance
3333 Lee Parkway #1200
Dallas, TX 75219

Services Rendered To:


Jose Sandoval-Ramirez
1024 South 15th Street
Corsicana, Texas 75110
Policy # 03MGEP1469429-00


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1.75
    $525.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00
  3. 326 Safety Fest (# Used)

    $2.50
    2
    $5.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 223 Northbound on Interstate 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $735.00
Total Due $735.00


Updated
June 30, 2021 @ 11:05 pm

Invoice updated by Geoffrey.