Bill To:


AAA Insurance
1000 AAA Drive
Heathrow, FL 32746-AAA

Services Rendered To:


Rhasihita Stroman
4605 Orchard Ridge Dr
Garland, TX 75043
POLICY# TPA187855783
CLAIM# 015656165


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

    $300.00
    1
    $300.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00

  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 $404.00
Total Due $404.00


Updated
February 6, 2023 @ 1:00 pm

Invoice updated by Geoffrey.

Status Update
February 6, 2023 @ 1:00 pm

Status changed: Draft to Pending.

Updated
October 19, 2023 @ 10:39 am

Invoice updated by Geoffrey.