Bill To:


Farmer's Insurance
PO Box 0991
Carol Stream, IL 60132-0991

Services Rendered To:


Carla Berry
211 Slaughter Ave
Camp Hill, AL 36850
POLICY# 186760561


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

    $300.00
    1
    $300.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 25560 Hwy 280- Camp Hill, AL

Subtotal $300.00
Total Due $300.00


Updated
June 13, 2023 @ 11:28 am

Invoice updated by Geoffrey.

Status Update
June 13, 2023 @ 11:28 am

Status changed: Draft to Pending.