Bill To:


Ace American Insurance
436 Walnut Street
Philadelphia, PA 19106-3703

Services Rendered To:


Eastman Chemical Co.
200 S. Wilcox Drive
Kingsport, TN 37660
Driver: Kaley Smith
VIN # 1FMSK7DH7MGB01430
POLICY # 15A H25313847


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

    $300.00
    1.75
    $525.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.75
    $262.50
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00
  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00
  7. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00
  8. 324 Traffic Cone (# Used)

    $5.00
    5
    $25.00
  9. 701 Body Removal (Per Body)    

    $250.00
    1
    $250.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 224 Northbound Interstate 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,587.50
Total Due $1,587.50


Updated
May 24, 2022 @ 4:32 pm

Invoice updated by Geoffrey.

Status Update
May 24, 2022 @ 4:32 pm

Status changed: Draft to Pending.

Updated
May 24, 2022 @ 4:33 pm

Invoice updated by Geoffrey.

Updated
May 24, 2022 @ 4:33 pm

Invoice updated by Geoffrey.