Bill To:


STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:


WD Schock Corp
POLICY# 75-0522-V01


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

    $350.00
    1
    $350.00
  2. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  3. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  5. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00
  6. 205 Foam (Per Gallon)

    $65.00
    5
    $325.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I-10 Eastbound 723 mm- San Felipe, TX

Subtotal $1,105.00
Total Due $1,105.00


Updated
November 21, 2022 @ 3:43 pm

Invoice updated by Geoffrey.

Status Update
November 21, 2022 @ 3:43 pm

Status changed: Draft to Pending.