Bill To:


Kaylee Stewart
145 Susan Circle
Fairfield, TX 75840

Services Rendered To:


Kaylee Stewart
145 Susan Circle
Fairfield, TX 75840
POLICY# 517464320

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-201-C22-32873 12/19/2022 02/06/2023 On Receipt Angus VFD

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

    $300.00
    1.5
    $450.00
  2. 104 Tanker Response (Per Hour)

    $300.00
    1.5
    $450.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 221 NB IH 45 W- Angus, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,050.00
Total Due $1,050.00


Updated
February 6, 2023 @ 1:38 pm

Invoice updated by Geoffrey.

Status Update
February 6, 2023 @ 1:38 pm

Status changed: Draft to Pending.

Updated
March 3, 2023 @ 11:26 am

Invoice updated by Geoffrey.

Updated
March 3, 2023 @ 11:27 am

Invoice updated by Geoffrey.