Bill To:


Keith Allen Tumulty
1610 Hailey St
Conroe, TX 77301

Services Rendered To:


Keith Allen Tumulty
1610 Hailey
Conroe, TX 77301


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

Product
Price
Qty
Amount
  1. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00
  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 219 NB IH 45- Richland, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $650.00
Total Due $650.00


Updated
March 27, 2023 @ 3:24 pm

Invoice updated by Geoffrey.

Status Update
March 27, 2023 @ 3:24 pm

Status changed: Draft to Pending.

Updated
March 27, 2023 @ 3:25 pm

Invoice updated by Geoffrey.

Updated
July 28, 2023 @ 12:00 pm

Invoice updated by Geoffrey.