Bill To:


Auto Club County Mutual
1225 Freeport Parkway
Coppell, TX 75019

Services Rendered To:


Ricky Bell
2013 Nissan Rogue
VIN # JN8AS5MV2DW647329
Policy # TPA166346086


Product
Price
Qty
Amount
  1. 101 Aerial/Ladder Response (Per Hour)

    $400.00
    1
    $400.00
  2. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 100 North State Highway 78 - Lavon, Texas

    Ordinance Info: City of Lavon - Resolution NO. 2020-03-01

Subtotal $762.00
Total Due $762.00


Updated
April 13, 2022 @ 8:46 pm

Invoice updated by Geoffrey.

Status Update
April 13, 2022 @ 8:46 pm

Status changed: Draft to Pending.

Viewed
October 25, 2022 @ 5:18 pm

Invoice viewed by 64.124.8.36 for the first time.

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March 30, 2024 @ 12:29 am

Invoice viewed by 66.249.72.6 for the first time.