Bill To:


ALLSTATE INSURANCE
3075 SANDERS ROAD - SUITE H1A
NORTHBROOK, IL 60062-7127

Services Rendered To:


Rosalinda Ventola
119 Lexington Drive
Terrell, Texas 75160
Policy # 886508864


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

    $400.00
    2
    $800.00
  2. 401 Debris Cleanup/Removal (# Used)

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

    $2.00
    8
    $16.00
  4. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  5. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00
  7. 324 Traffic Cone (# Used)

    $5.00
    5
    $25.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 205 and CR 485 - Lavon, Texas

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

Subtotal $1,376.00
Total Due $1,376.00


Updated
September 8, 2021 @ 5:17 pm

Invoice updated by Geoffrey.

Status Update
September 8, 2021 @ 5:17 pm

Status changed: Draft to Pending.