Bill To:


USAA CASUALTY INSURANCE
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:


Joe Cole
2806 Lipan Highway
Granbury, Texas 76048
Policy # 044461706


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

    $300.00
    1
    $300.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 2305 Lipan Highway - Granbury, Texas

Subtotal $935.00
Total Due $935.00


Updated
June 16, 2021 @ 12:38 pm

Invoice updated by Geoffrey.

Status Update
June 16, 2021 @ 12:38 pm

Status changed: Draft to Pending.

Updated
June 16, 2021 @ 12:38 pm

Invoice updated by Geoffrey.

Updated
June 16, 2021 @ 12:40 pm

Invoice updated by Geoffrey.