Bill To:


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

Services Rendered To:


John Smith
123 Main St
Houston, TX 77423
POLICY# 1427483998


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

    $500.00
    3
    $1,500.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    3
    $750.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    3
    $600.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    3
    $300.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Lillian Hwy- Pensacola, FL

Subtotal $3,150.00
Total Due $3,150.00


Updated
March 5, 2024 @ 5:14 pm

Invoice updated by Geoffrey.

Status Update
March 5, 2024 @ 5:14 pm

Status changed: Draft to Pending.

Updated
March 5, 2024 @ 5:14 pm

Invoice updated by Geoffrey.