Bill To:


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

Services Rendered To:


Joseph George
2159 Park Place Circle
Round Rock, TX 78681
POLICY# 929070907


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

    $500.00
    1
    $500.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  3. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Pearson Ranch & 620- Austin, TX

    Ordinance Info: Sam Bass Fire Dept. Resolution

Subtotal $1,105.00
Total Due $1,105.00


Updated
November 1, 2023 @ 10:29 am

Invoice updated by Geoffrey.

Status Update
November 1, 2023 @ 10:29 am

Status changed: Draft to Pending.