Bill To:


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

Services Rendered To:


Ryan Maher
POLICY #
CLAIM #


Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    Brush # 1

    $150.00
    1.5
    $225.00
  2. 105 Utility Vehicle Response (Per Hour)

    Brush # 2

    $150.00
    1.5
    $225.00
  3. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  6. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: State Highway 77 West of Douglassville, TX

Subtotal $695.00
Total Due $695.00


Updated
July 28, 2022 @ 3:29 pm

Invoice updated by Geoffrey.

Status Update
July 28, 2022 @ 3:29 pm

Status changed: Draft to Pending.

Updated
July 28, 2022 @ 3:32 pm

Invoice updated by Geoffrey.