Bill To:


Colonial County Mutual Insurance
1 Nationwide Plaza
Columbus, OH 43215

Services Rendered To:


Bridgette Bartek
1810 CR 213
Jonesboro, TX 76538
Policy # 7842J021481


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

    $300.00
    1.25
    $375.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  4. 409 Manpower (Per Hour)

    4 firefighters x 1.25 Hrs ea.

    $50.00
    5
    $250.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1820 CR 220 - Gatesville, Texas

    Ordinance Info: Turnersville Cost Recovery Policy # 55

Subtotal $937.50
Total Due $937.50


Updated
October 18, 2021 @ 5:00 pm

Invoice updated by Geoffrey.

Status Update
October 18, 2021 @ 5:00 pm

Status changed: Draft to Pending.

Updated
February 17, 2022 @ 7:00 pm

Invoice updated by Geoffrey.

Updated
March 28, 2022 @ 6:49 pm

Invoice updated by Geoffrey.