Bill To:


Ambrose Paige
6719 River Bluff Drive
Houston, TX 77085

Services Rendered To:


Ambrose Paige
6719 River Bluff Drive
Houston, TX 77085
Policy # 416 0485 B23 53B 003


*** 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)

    $150.00
    1
    $150.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00
  7. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  9. 326 Safety Fest (# Used)

    $2.50
    7
    $17.50
  10. 302 Hand Light (# Used)

    $5.00
    3
    $15.00
  11. 324 Traffic Cone (# Used)

    $5.00
    3
    $15.00

  12. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: U.S. 59 Southbound @ FM 1186 - Marshall, Texas

Subtotal $1,475.50
Total Due $1,475.50


Updated
May 15, 2022 @ 5:22 pm

Invoice updated by Geoffrey.

Updated
July 26, 2022 @ 12:23 pm

Invoice updated by Geoffrey.