Bill To:


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

Services Rendered To:


John Steelquist
506 N Rainflower Circle
League City, TX 77573
POLICY# 483 2908-F08-53B 002


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

    $400.00
    1
    $400.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    1
    $400.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    1
    $2.00
  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 222 IH 45- Angus, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,152.00
Total Due $1,152.00


Updated
August 31, 2023 @ 11:01 am

Invoice updated by Geoffrey.

Status Update
August 31, 2023 @ 11:01 am

Status changed: Draft to Pending.

Updated
August 31, 2023 @ 11:02 am

Invoice updated by Geoffrey.