Bill To:


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

Services Rendered To:


Kee Kim
2015 Toyota Rav 4
Vin.# 2T3WFREV1FW161821
Policy #000000829686313


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

    $300.00
    1
    $300.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  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. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 224 1/2 Northbound on Interstate 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $891.00
Total Due $891.00


Updated
December 8, 2021 @ 5:21 pm

Invoice updated by Geoffrey.

Status Update
December 8, 2021 @ 5:21 pm

Status changed: Draft to Pending.

Updated
December 8, 2021 @ 5:22 pm

Invoice updated by Geoffrey.

Viewed
October 23, 2022 @ 2:15 am

Invoice viewed by 64.124.8.43 for the first time.