Bill To:


M & T Anderson Enterprises
197 Stonewood Blvd.
Bartonville, TX 76226

Services Rendered To:


M & T Anderson Enterprises
197 Stonewood Blvd.
Bartonville, Texas 76226
Policy # 454 0182-E20-43

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-HW-405-2021-47 05/10/2021 05/18/2021 On Receipt Hico V.F.D.

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

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

    $350.00
    1.25
    $437.50
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  3. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00
  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  7. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 505 Cedar Street - Hico, Texas

Subtotal $1,581.25
Total Due $1,581.25


Updated
May 17, 2021 @ 6:16 pm

Invoice updated by Geoffrey.

Status Update
May 17, 2021 @ 6:16 pm

Status changed: Draft to Pending.

Updated
August 25, 2021 @ 5:33 pm

Invoice updated by Geoffrey.

Updated
August 25, 2021 @ 5:34 pm

Invoice updated by Geoffrey.

Updated
September 12, 2021 @ 2:26 pm

Invoice updated by Geoffrey.

Updated
September 12, 2021 @ 2:33 pm

Invoice updated by Geoffrey.

Updated
September 12, 2021 @ 2:38 pm

Invoice updated by Geoffrey.

Updated
September 22, 2021 @ 6:19 pm

Invoice updated by Geoffrey.

Updated
February 12, 2022 @ 2:28 pm

Invoice updated by Geoffrey.

Viewed
October 24, 2022 @ 1:32 pm

Invoice viewed by 64.124.8.26 for the first time.