Bill To:


Hipolito Duran-Castillo
12602 Paseo Arbol
San Antonio, TX 78252

Services Rendered To:


Hipolito Duran-Castillo
12602 Paseo Arbol
San Antonio, Texas 78252


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

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

    $350.00
    1
    $350.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  3. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 78 and FM 1044 - Marion, Texas

Subtotal $1,000.00
Total Due $1,000.00


Updated
February 12, 2021 @ 10:49 pm

Invoice updated by Geoffrey.

Viewed
October 24, 2022 @ 7:30 am

Invoice viewed by 64.124.8.45 for the first time.