Bill To:


Kaitlin Reynolds
2640 Pioneer Road
Sequin, TX 78155

Services Rendered To:


Kaitlin Reynolds
2640 Pioneer Road
Sequin, Texas 78155

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-HS-403-2021-21-A 01/14/2021 02/09/2021 On Receipt McQueeney V.F.D.

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

    $300.00
    1
    $300.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 407 Patient Care / Evaluation (Per Patient)

    $50.00
    3
    $150.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 6100 Block of FM 1044 - New Braunfels, Texas

Subtotal $600.00
Total Due $600.00


Updated
February 8, 2021 @ 11:48 pm

Invoice updated by Geoffrey.

Status Update
February 8, 2021 @ 11:48 pm

Status changed: Draft to Pending.

Updated
February 19, 2021 @ 12:43 pm

Invoice updated by Geoffrey.

Viewed
March 28, 2024 @ 11:12 pm

Invoice viewed by 66.249.72.5 for the first time.

Viewed
March 30, 2024 @ 6:52 am

Invoice viewed by 66.249.72.6 for the first time.