Bill To:


Kaitlin Reynolds
2640 Pioneer Road
Sequin, TX 78155

Services Rendered To:


Kaitlin Reynolds
2640 Pioneer Road
Sequin, Texas 78155


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

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.