Bill To:


Farmers Insurance
PO Box 268993
Oklahoma City, OK 73126

Services Rendered To:


Rachel Mcquien
POLICY # 2147260468


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

    $350.00
    1.25
    $437.50
  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1.25
    $312.50
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  5. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: SH 78 and Burnett Dr- Lavon, TX

    Ordinance Info: City of Lavon Resolution NO. 2020-03-01

Subtotal $1,078.50
Total Due $1,078.50


Updated
September 28, 2022 @ 3:29 pm

Invoice updated by Geoffrey.

Status Update
September 28, 2022 @ 3:29 pm

Status changed: Draft to Pending.