Bill To:


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

Services Rendered To:


Suzanne Hanson
620 West FM 6
Nevada, Texas 75173
Policy # 000000886521363


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

    $350.00
    1
    $350.00
  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 6 and Highway 78 - Lavon, Texas

    Ordinance Info: City of Lavon, Texas - Resolution NO. 2020-03-01

Subtotal $712.00
Total Due $712.00


Updated
April 19, 2021 @ 8:06 pm

Invoice updated by Geoffrey.

Status Update
April 19, 2021 @ 8:06 pm

Status changed: Draft to Pending.