Bill To:


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

Services Rendered To:


Kimberly Mason
6615 I-30 E
Royse City, TX 75189
POLICY# 4390750-E17-43C


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

    $350.00
    1
    $350.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: N State Hwy 78/ Grand Heritage Blvd- Lavon, TX

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

Subtotal $900.00
Total Due $900.00


Updated
June 1, 2023 @ 11:58 am

Invoice updated by Geoffrey.

Status Update
June 1, 2023 @ 11:58 am

Status changed: Draft to Pending.