Bill To:


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

Services Rendered To:


James Himes
10242 FM 248
Lodi, TX 75564
POLICY# 566 3490 L29 43A


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

    $400.00
    1.25
    $500.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US 59 & Loden Rd- Marshall, TX

Subtotal $625.00
Total Due $625.00


Updated
January 11, 2024 @ 12:50 pm

Invoice updated by Geoffrey.

Status Update
January 11, 2024 @ 12:50 pm

Status changed: Draft to Pending.