Bill To:


Liberty County Mutual
175 Berkeley Street
Boston, MA 02116

Services Rendered To:


Daniel Ryan Gunther
146 Rey Del Mar
Weatherford, Texas 76088
Policy # ABT29834159140


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

    BC #49

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

    E #49

    $350.00
    1
    $350.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 1542 / South Reno Road

Subtotal $500.00
Total Due $500.00
Updated
November 14, 2019 @ 4:59 pm

Invoice updated by Karen Smith.

Status Update
November 14, 2019 @ 4:59 pm

Status changed: Draft to Pending.