Bill To:


STATE FARM MUTUAL INSURANCE
ONE STATE FARM PLAZA
BLOOMINGTON, IL 61710-0001

Services Rendered To:


Daniela Camergo Dill
3941 Roland Rd
Whitesboro, TX 76273
POLICY# 551 6891-A29-43 001


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.5
    $150.00
  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  6. 404 Scene Lighting (Per Hour)

    $75.00
    1.5
    $112.50
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: CR 109 & CR 132- Whitesboro, TX

Subtotal $1,447.50
Total Due $1,447.50


Updated
February 16, 2023 @ 1:47 pm

Invoice updated by Geoffrey.

Status Update
February 16, 2023 @ 1:47 pm

Status changed: Draft to Pending.