Bill To:


Gary King
4513 Rose Road
Albertville, AL 35951

Services Rendered To:


Gary King
4513 Rose Road
Albertville, AL 35951
POLICY# 2016059862


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.75
    $437.50
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.75
    $437.50
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 5000 Block Rose Rd- Albertville, AL

Subtotal $1,054.00
Total Due $1,054.00


Updated
December 15, 2022 @ 5:32 pm

Invoice updated by Geoffrey.

Updated
March 17, 2023 @ 4:39 pm

Invoice updated by Sherryf.

Viewed
March 17, 2023 @ 4:39 pm

Invoice viewed by Sherry Fels (Sherryf) for the first time.