Bill To:


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

Services Rendered To:


Teresa Ingram
23350 Doe Run
Poteau, Oklahoma 74953
POLICY # 815763511


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    Unit 1203

    $150.00
    1.5
    $225.00
  2. 105 Utility Vehicle Response (Per Hour)

    Unit 1205

    $150.00
    1.5
    $225.00
  3. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00
  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Interstate 40 Eastbound @ County Line - Henryetta, OK

    Ordinance Info: Tiger Mountain - McIntosh County Resolution 72021

Subtotal $895.00
Total Due $895.00


Updated
June 27, 2022 @ 4:18 pm

Invoice updated by Geoffrey.

Status Update
June 27, 2022 @ 4:18 pm

Status changed: Draft to Pending.

Updated
January 6, 2023 @ 4:52 pm

Invoice updated by Sherryf.