Bill To:


Infinity County Mutual
3700 Colonade Parkway
Birmingham, AL 35243

Services Rendered To:


Paco Lopez Barrios
1201 Legacy #1413
Plano, TX 75023
POLICY # 142140335286001


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

    $300.00
    1
    $300.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 14 and Southwest C.R. 2410 - Richland, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $400.00
Total Due $400.00


Updated
September 17, 2022 @ 5:04 pm

Invoice updated by Geoffrey.

Status Update
September 17, 2022 @ 5:04 pm

Status changed: Draft to Pending.