Bill To:


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

Services Rendered To:


Cole Robert
1015 Springhill Drive
Saginaw, TX 76179
POLICY # 829972591


Product
Price
Qty
Amount
  1. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    12
    $24.00
  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  6. 203 Oil Boom (# Used)

    $20.00
    1
    $20.00
  7. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  9. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1200 Boyd Road - Azle, Texas

    Ordinance Info: Briar-Reno Cost Recovery Resolution

Subtotal $1,199.00
Total Due $1,199.00


Updated
April 21, 2022 @ 6:25 pm

Invoice updated by Geoffrey.

Status Update
April 21, 2022 @ 6:25 pm

Status changed: Draft to Pending.

Updated
April 21, 2022 @ 7:56 pm

Invoice updated by Geoffrey.