Bill To:


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

Services Rendered To:


Allison Van Brunt
1006 Downridge Dr
Leander, TX 78641
POLICY# 416 518 128


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

    $500.00
    1
    $500.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 45 & RM 620- Round Rock, TX

    Ordinance Info: Sam Bass Fire Dept. Resolution

Subtotal $600.00
Total Due $600.00


Updated
July 17, 2023 @ 12:48 pm

Invoice updated by Geoffrey.

Status Update
July 17, 2023 @ 12:48 pm

Status changed: Draft to Pending.