Bill To:


Jose Gonzales
7349 Oak Hill Dr
Houston, TX 77587

Services Rendered To:


Jose Gonzales
7349 oak Hill Dr
Houston, TX 77587
POLICY# TPR10527000

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-201-C24-1374 01/19/2024 04/23/2024 On Receipt Angus VFD

*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

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

    $400.00
    2.5
    $1,000.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.5
    $250.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 226 S/B IH45- Angus, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,250.00
Total Due $1,250.00


Updated
April 23, 2024 @ 11:48 am

Invoice updated by Geoffrey.

Status Update
April 23, 2024 @ 11:48 am

Status changed: Draft to Pending.

Updated
June 6, 2024 @ 4:38 pm

Invoice updated by Geoffrey.