Bill To:


*KEMPER INSURANCE*
PO Box 2847
Clinton, IA 52733

Services Rendered To:


Dayton Jenkins
4620 N Braeswood Blvd Apt 33
Houston, TX 77096
POLICY# 42AU001063401

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-GV-301-24-4018 01/21/2024 01/23/2024 On Receipt Dew VFD

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

    $400.00
    1
    $400.00
  2. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I45 @ 183 South- Teague, TX

Subtotal $750.00
Total Due $750.00


Updated
January 23, 2024 @ 11:27 am

Invoice updated by Geoffrey.

Status Update
January 23, 2024 @ 11:27 am

Status changed: Draft to Pending.

Updated
March 24, 2024 @ 9:08 pm

Invoice updated by Karen Smith.

Viewed
March 24, 2024 @ 9:09 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.

Viewed
July 23, 2024 @ 3:17 am

Invoice viewed by 173.252.87.8 for the first time.