Bill To:


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

Services Rendered To:


Natasha Davenport
1450 Durward St
Russellville, AL 35654
POLICY# 81542887


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

    $350.00
    1
    $350.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 331 Air Bags (# Used)

    $150.00
    1
    $150.00
  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  5. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  7. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 43 & Blue Rd- Tuscumbia, AL

Subtotal $1,175.00
Total Due $1,175.00


Updated
December 19, 2022 @ 12:30 pm

Invoice updated by Geoffrey.

Status Update
December 19, 2022 @ 12:30 pm

Status changed: Draft to Pending.