Bill To:


Liberty County Mutual
175 Berkeley Street
Boston, MA 02116

Services Rendered To:


Larry Ledbetter
POLICY # Y8713890


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

    $300.00
    1.75
    $525.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.75
    $262.50
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00
  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 377 & Sandusky Road

Subtotal $1,076.50
Total Due $1,076.50


Updated
July 12, 2022 @ 4:26 pm

Invoice updated by Geoffrey.

Status Update
July 12, 2022 @ 4:26 pm

Status changed: Draft to Pending.