Bill To:


NEVADA GENERAL INSURANCE CO.
5645 Spring Mountain Rd
Las Vegas, NV 89146

Services Rendered To:


Julio Nodarse
5561 Adrian Circle
Las Vegas, NV 89122
POLICY # NGV0021923-02

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-214-22-26 02/03/2022 02/14/2022 On Receipt Richland Volunteer Fire Department

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. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Interstate 45 North @ MM 217 - Richland, Texas

    Ordinance Info: Richland Billing Ordinance NO. 170 Cost Recovery

Subtotal $650.00
Total Due $650.00


Updated
February 14, 2022 @ 1:29 pm

Invoice updated by Geoffrey.

Status Update
February 14, 2022 @ 1:29 pm

Status changed: Draft to Pending.

Updated
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Invoice updated by Karen Smith.

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Updated
September 12, 2022 @ 6:55 pm

Invoice updated by Geoffrey.

Updated
October 17, 2022 @ 5:48 pm

Invoice updated by Geoffrey.

Updated
December 6, 2022 @ 5:27 pm

Invoice updated by Karen Smith.

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