Bill To:


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

Services Rendered To:


Robbie Wilson
Panama City, Florida
Policy # J260989A26594


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

    $350.00
    1
    $350.00
  2. 409 Manpower (Per Hour)

    $50.00
    3
    $150.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00
  4. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 2838 North Highway 81 - Ponce De Leon, Florida

Subtotal $679.00
Total Due $679.00
Updated
December 31, 2020 @ 3:21 pm

Invoice updated by Geoffrey.

Status Update
December 31, 2020 @ 3:21 pm

Status changed: Draft to Pending.