Bill To:


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

Services Rendered To:


Jesus Sanchez
Vin# 3G7DA03E725588639
License Plate# CZ7X874
POLICY# 3946606-A28-53001


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

    $350.00
    2
    $700.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  3. 104 Tanker Response (Per Hour)

    $300.00
    2
    $600.00
  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: Fm 1462- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $2,350.00
Total Due $2,350.00


Updated
June 13, 2023 @ 2:39 pm

Invoice updated by Geoffrey.

Status Update
June 13, 2023 @ 2:39 pm

Status changed: Draft to Pending.