Bill To:


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

Services Rendered To:


Ronald Miller
1906 Clearbrook Court
Wylie, Texas 75098
Policy # 916657337


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

    $400.00
    2.5
    $1,000.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2.5
    $375.00
  3. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00
  7. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.5
    $250.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 205 & Rockwell County Line - Lavon, Texas

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

Subtotal $2,375.00
Total Due $2,375.00


Updated
October 14, 2021 @ 5:09 pm

Invoice updated by Geoffrey.

Status Update
October 14, 2021 @ 5:10 pm

Status changed: Draft to Pending.

Viewed
October 22, 2022 @ 2:50 pm

Invoice viewed by 64.124.8.25 for the first time.