Bill To:


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

Services Rendered To:


Bonnie Sue Kinsel
17810 Meadow Bend Rd
Damon, TX 77430
POLICY# 648903603


Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $500.00
    1.25
    $625.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  3. 103 Rescue Response (Per Hour)

    $400.00
    1.25
    $500.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  6. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 655- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $2,062.50
Total Due $2,062.50


Updated
December 5, 2023 @ 3:07 pm

Invoice updated by Geoffrey.