Bill To:

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

Services Rendered To:

Harold Mason
809 West Maple
Tecumseh, OK 74873
Policy # 010443646


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

  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. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 10785 Highway 205 - Lavon, Texas

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

Subtotal $843.50
Total Due $843.50

Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.
Updated
November 3, 2020 @ 12:56 pm

Invoice updated by Geoffrey.

Status Update
November 3, 2020 @ 12:56 pm

Status changed: Draft to Pending.