Bill To:


Miguel Gonsalez
PO Box 792
Crowell, TX 79227

Services Rendered To:


Miguel Gonsalez
PO Box 792
Crowell, TX 79227
POLICY# WRPT2260075


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

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  2. 103 Rescue Response (Per Hour)

    $400.00
    1.25
    $500.00
  3. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 218 N/B IH 45- Richland, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,031.25
Total Due $1,031.25


Updated
August 31, 2023 @ 11:35 am

Invoice updated by Geoffrey.

Updated
September 13, 2023 @ 4:37 pm

Invoice updated by Geoffrey.

Viewed
March 30, 2024 @ 12:37 am

Invoice viewed by 66.249.72.6 for the first time.