|
|
Invoice -Invoice Date - 01/01/1970 |
|---|---|
|
{{ $legacycompanyname }}
|
BILL TO : {{ $insurancecompanyname }} |
| Invoice No | File# | Policy No | Claim No | Invoice Date |
|---|---|---|---|---|
| {{ $invoice['invoiceno'] }} | {{ $rowdata['file_no'] }} | {{ $rowdata['policy_number'] }} | {{ $rowdata['claim_number'] }} | {{ date('m/d/Y', strtotime($invoice['invoice_date'])) }} |
| Date of Loss | Type of Loss | Type of Claim | Insured/Claimant | Adjuster |
| {{ date("M d Y", strtotime($rowdata['date_of_loss'])) }} | {{ $rowdata->lossType->loss_type ?? '' }} | {{ $rowdata->claimType->claim_type ?? '' }} | {{ $rowdata['insured_name'] }} | {{ $adjuster }} |
| Vehicle Year | Vehicle Make | Vehicle Model | Vehicle VIN | Vehicle Color |
| {{ $vehicle['vehicle_year'] ?? '' }} | {{ $vehicle['vehicle_make'] ?? '' }} | {{ $vehicle['vehicle_model'] ?? '' }} | {{ $vehicle['vehicle_vin'] ?? '' }} | {{ $vehicle['vehicle_color'] ?? '' }} |
| # | Type | Description | Units | Unit Price | Total |
|---|---|---|---|---|---|
| {{ $loop->iteration }} | {{ $item->description }} | {{ $item->description }} | {{ $item->unit }} | ${{ number_format($item->insurance_amount, 2) }} | ${{ number_format($item->insurance_amount * $item->unit, 2) }} |
| Sub Total | ${{ number_format($total, 2) }} | ||||
| Tax | ${{ number_format($taxamount, 2) }} | ||||
| DUE UPON RECEIPT | Total | ${{ number_format($subtotal, 2) }} | |||
Invoice Comment :
{{ $invoice['invoice_comment'] }}
Notes : Please be advised that there has been no change to our remittance instruction. Any communication regarding remittance from Legacy Claims Services will only come from @legacyclaimsservices.com - never a variation of this domain. To ensure you are using the correct remittance address, Please contact your dedictated Legacy Claims credit representative.
Additionally, please note that we will no longer be accepting credit card payments.
Thank you for your attention to this matter. If you have any questions, please reach out to your representative.
Thank you! We truly appreciate your business and look forward to serving you again.
Did you know we handle nationwide claims for Auto, Heavy & Speciality Equipment, Forestry, Marine, RVs, Emergency Vehicles, Fleets, Motorcycles and Property?