Bill To:


STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:


Zachary Renyer
Wylie, Texas 75098
State Farm
Policy # 4370065-D03-43A


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

    $350.00
    1
    $350.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 401 Debris Cleanup/Removal (# Used)

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

    $2.00
    10
    $20.00
  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  6. 201 Oil Absorbent Material (# Used)

    $35.00
    3
    $105.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 and County Road 384 - Wylie, Texas

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

Subtotal $990.00
Total Due $990.00
Updated
November 3, 2020 @ 12:41 pm

Invoice updated by Geoffrey.