Bill To:


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

Services Rendered To:


Daniel Covey
375 CR 3645
Clifton, Texas 76634
Policy # 317-3954-C11-43D


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  3. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00
  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: County Road 3125 and Highway 6 - Valley Mills, Texas

Subtotal $1,275.00
Total Due $1,275.00


Updated
February 18, 2021 @ 7:36 pm

Invoice updated by Geoffrey.

Status Update
February 18, 2021 @ 7:36 pm

Status changed: Draft to Pending.

Viewed
October 22, 2022 @ 8:09 am

Invoice viewed by 64.124.8.27 for the first time.