Bill To:


John Torres
501 N. 5th Street
Lometa, TX 76853-2129

Services Rendered To:


John Torres
501 N. 5th Street
Lometa, TX 76853

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-HW-405-2021-48-E 05/15/2021 05/26/2021 On Receipt Hico V.F.D.

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Product
Price
Qty
Amount
  1. 406 Medical Extrication – Lvl 2

    Patient:

    John Torres
    201 E. Pecan Street
    Lometa, TX 76853

    $1,500.00
    1
    $1,500.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 281 S. @ Honey Creek Bridge - Hamilton County, Texas

Subtotal $1,500.00
Total Due $1,500.00


Updated
May 25, 2021 @ 5:02 pm

Invoice updated by Geoffrey.

Updated
August 10, 2021 @ 5:54 pm

Invoice updated by Geoffrey.

Updated
August 10, 2021 @ 5:55 pm

Invoice updated by Geoffrey.

Viewed
October 22, 2022 @ 7:38 pm

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