Bill To:


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

Services Rendered To:


Elizabeth Mary Allen
POLICY# 138 0623-L18-43B 002


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

    $500.00
    1
    $500.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  3. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  4. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00
  7. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 13130 E Hwy 82- Whitesboro, TX 76273

    Ordinance Info: City Of Callisburg Resolution

Subtotal $1,210.00
Total Due $1,210.00


Updated
March 19, 2024 @ 9:45 am

Invoice updated by Geoffrey.

Status Update
March 19, 2024 @ 9:45 am

Status changed: Draft to Pending.