Bill To:


Farmers Insurance
PO Box 268993
Oklahoma City, OK 73126

Services Rendered To:


Tyrese McGruder
13547 Dovetail Canyon Ct
Rosharon, TX 77583
POLICY# 533849054


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $400.00
    1.5
    $600.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I45 & 192 Mile Post- Dew, TX

Subtotal $750.00
Total Due $750.00


Updated
December 7, 2023 @ 7:07 pm

Invoice updated by Geoffrey.

Status Update
December 7, 2023 @ 7:07 pm

Status changed: Draft to Pending.