Bill To:


ENCOMPASS INSURANCE
PO BOX 1623
Winston-Salem, NC 27102-1623

Services Rendered To:


William Carvalhe
2717 Shire Ridge
Austin, TX 78732
POLICY# 000000283240866


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

    $500.00
    1
    $500.00
  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
    3
    $45.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: IH 45 & Mopac- Austin, TX

    Ordinance Info: Sam Bass Fire Dept. Resolution

Subtotal $1,130.00
Total Due $1,130.00


Updated
July 27, 2023 @ 12:27 pm

Invoice updated by Geoffrey.

Status Update
July 27, 2023 @ 12:27 pm

Status changed: Draft to Pending.