Bill To:


STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:


Ian Smith
2016 Nissan Altima
License Plate# 811BKSK


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

    $500.00
    1.75
    $875.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Paint Rock Rd- Helenwood, TN

Subtotal $1,300.00
Total Due $1,300.00


Updated
November 30, 2023 @ 11:00 am

Invoice updated by Geoffrey.

Status Update
November 30, 2023 @ 11:00 am

Status changed: Draft to Pending.