Bill To:


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

Services Rendered To:


Wiley Eaton
1505 N Alice St
Gladewater, TX 75647
POLICY# 936-075-481


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $400.00
    1
    $400.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 903 US-80- Clarksville City, TX

Subtotal $950.00
Total Due $950.00


Updated
December 12, 2023 @ 5:03 pm

Invoice updated by Geoffrey.

Status Update
December 12, 2023 @ 5:03 pm

Status changed: Draft to Pending.