Bill To:


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

Services Rendered To:


Brent Justin Morris
10308 S. FM 730
Boyd, Texas 76023
Policy # 829935357


Product
Price
Qty
Amount
  1. 104 Tanker Response (Per Hour)

    A #49

    $300.00
    1
    $300.00
  2. 104 Tanker Response (Per Hour)

    B #49

    $300.00
    1
    $300.00
  3. 102 Engine Response (Per Hour)

    E #249

    $350.00
    1
    $350.00
  4. 105 Utility Vehicle Response (Per Hour)

    SQD #49

    $150.00
    1
    $150.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 13800 Block of FM RD 730 North, Azle Texas

Subtotal $1,100.00
Total Due $1,100.00
Updated
November 14, 2019 @ 4:39 pm

Invoice updated by Karen Smith.

Status Update
November 14, 2019 @ 4:39 pm

Status changed: Draft to Pending.

Updated
November 14, 2019 @ 4:42 pm

Invoice updated by Karen Smith.

Viewed
November 8, 2022 @ 3:36 am

Invoice viewed by 64.124.8.26 for the first time.