Bill To:


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

Services Rendered To:


Teresa Wright
2074 CR 3150
Cookville, Texas 75558
Policy # 398 4699-C08-43D 001


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

    $300.00
    1.5
    $450.00
  2. 302 Hand Light (# Used)

    $5.00
    1
    $5.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 2600 Block of FM 2791 - Cass County, Texas

Subtotal $605.00
Total Due $605.00


Updated
September 5, 2021 @ 5:01 pm

Invoice updated by Geoffrey.

Status Update
September 5, 2021 @ 5:01 pm

Status changed: Draft to Pending.

Updated
October 18, 2021 @ 9:59 am

Invoice updated by Geoffrey.

Updated
April 27, 2022 @ 5:22 pm

Invoice updated by Geoffrey.

Viewed
October 25, 2022 @ 7:11 am

Invoice viewed by 64.124.8.25 for the first time.