Bill To:


UNITED SERVICES AUTO. ASSOC. / USAA
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:


Policy# 002759884671016
Daniel Hill
389 CR 1236
Whitney, TX 76692


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

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

    $350.00
    1
    $350.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 6 South of Town, Valley Mills, TX

Subtotal $750.00
Total Due $750.00
Updated
November 9, 2020 @ 6:36 pm

Invoice updated by Karen Smith.

Status Update
November 9, 2020 @ 6:36 pm

Status changed: Draft to Pending.