Bill To:


National Liability & Fire Ins
P.O. Box 113247
Stamford, CT 06911

Services Rendered To:


MB Contractors LLC
201 Celia St
George West, TX 78022
POLICY# 73APS112122


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

    $250.00
    4.75
    $1,187.50
  2. 103 Rescue Response (Per Hour)

    $400.00
    4.75
    $1,900.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    4.75
    $475.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 641 & SH 14- Richland, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $3,570.50
Total Due $3,570.50


Updated
August 21, 2023 @ 11:19 am

Invoice updated by Geoffrey.

Status Update
August 21, 2023 @ 11:19 am

Status changed: Draft to Pending.