Bill To:


ALLSTATE FIRE AND CASUALTY
2775 SANDERS ROAD
NORTHBROOK, IL 60062-6110

Services Rendered To:


Jimmy Rich
3917 E. Main St
Nacogdoches, TX 75961
POLICY# 8929446755


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

    $350.00
    1.25
    $437.50
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  3. 401 Debris Cleanup/Removal (# Used)

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

    $2.00
    3
    $6.00
  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 4772 Hwy 64- Ben Wheeler, TX

Subtotal $1,041.00
Total Due $1,041.00


Updated
March 29, 2023 @ 1:34 pm

Invoice updated by Geoffrey.

Status Update
March 29, 2023 @ 1:34 pm

Status changed: Draft to Pending.