Bill To:


USAA
9800 Fredericksburg Rd.
San Antonio, TX 78288

Services Rendered To:


Ralph Holcomb
189 Ella Dr
Diana, TX 75640
POLICY# 0040782587102


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

    $400.00
    1
    $400.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 302 Hand Light (# Used)

    $5.00
    5
    $25.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 3008 George Richey Rd- Warren City, TX 75647

Subtotal $1,035.00
Total Due $1,035.00


Updated
March 19, 2024 @ 10:06 am

Invoice updated by Geoffrey.

Status Update
March 19, 2024 @ 10:06 am

Status changed: Draft to Pending.