Bill To:


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

Services Rendered To:


Sherlene Garrett
POLICY# 1774391-C15-0113


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Church Hill Rd & Hazel Cox Rd- Camp Hill, AL

Subtotal $300.00
Total Due $300.00


Updated
February 1, 2023 @ 12:47 am

Invoice updated by Geoffrey.

Status Update
February 1, 2023 @ 12:47 am

Status changed: Draft to Pending.