Bill To:


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

Services Rendered To:


Jimmy Turner Jr
5104 Spring Circle Dr
Pearland, TX 77584
POLICY# 1682120-F13-53A 001


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $400.00
    1.75
    $700.00
  2. 102 Engine Response (Per Hour)

    $500.00
    1.75
    $875.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.75
    $437.50
  4. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.75
    $437.50
  5. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  6. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  7. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  8. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00
  9. 408 Air Medical Landing Zone (Used)

    $250.00
    1
    $250.00
  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00

  11. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 6227 CR 42- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $3,440.00
Total Due $3,440.00


Updated
July 25, 2023 @ 3:10 pm

Invoice updated by Geoffrey.

Status Update
July 25, 2023 @ 3:10 pm

Status changed: Draft to Pending.

Viewed
August 19, 2023 @ 12:56 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.