Bill To:


ALFA INSURANCE
207 Hwy 78 W
Jasper, AL 35501

Services Rendered To:


Sharonda Phelps
7317 Copperfield Dr
Montgomery, AL 36117
POLICY# 19000794199


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

    $500.00
    1
    $500.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    1
    $400.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  4. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 218 I-65 SB- Jemison, AL

Subtotal $1,287.00
Total Due $1,287.00


Updated
October 25, 2023 @ 1:36 pm

Invoice updated by Geoffrey.

Status Update
October 25, 2023 @ 1:36 pm

Status changed: Draft to Pending.

Updated
November 30, 2023 @ 4:49 pm

Invoice updated by Geoffrey.