Bill To:


Chassis Link Inc Direct
P.O. Box 410603
Charlotte, NC 28241

Services Rendered To:


Chassis Link Inc. Direct
P.O. Box 410603
Charlotte, N. Carolina 28241
Driver: Lesuy Salazar


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

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

    $300.00
    1
    $300.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00
  3. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  4. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Interstate 45 @ 220 Northbound - Richland, Texas

Subtotal $705.00
Total Due $705.00


Updated
July 12, 2022 @ 5:36 pm

Invoice updated by Geoffrey.

Status Update
July 12, 2022 @ 5:36 pm

Status changed: Draft to Pending.

Updated
September 12, 2022 @ 7:19 pm

Invoice updated by Geoffrey.

Viewed
October 25, 2022 @ 6:05 pm

Invoice viewed by 64.124.8.36 for the first time.