Bill To:


National Union Fire Insurance Co.
175 Water Street
New York, NY 10038

Services Rendered To:


Charles A Eagleson
8284 Alton Blvd
Selma, TX 78154
POLICY# ca1921838


Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.5
    $150.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00
  6. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00
  7. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Fm 78 & Hwy 1044- McQueeney, TX

    Ordinance Info: RESOLUTION-McQueeney Cost Recovery Resolution 4521

Subtotal $1,704.00
Total Due $1,704.00


Updated
October 12, 2022 @ 2:54 pm

Invoice updated by Geoffrey.