Bill To:


ALLSTATE INSURANCE
3075 SANDERS ROAD - SUITE H1A
NORTHBROOK, IL 60062-7127

Services Rendered To:


Michael Garcia
575 Lucas Lane
Lavon, Texas 75166
POLICY # 429084653


Product
Price
Qty
Amount
  1. 101 Aerial/Ladder Response (Per Hour)

    $400.00
    1
    $400.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 401 Debris Cleanup/Removal (# Used)

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

    $2.00
    8
    $16.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Highway 205 and State Highway 78 - Lavon, Texas

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

Subtotal $816.00
Total Due $816.00


Updated
September 2, 2022 @ 5:31 pm

Invoice updated by Geoffrey.

Status Update
September 2, 2022 @ 5:31 pm

Status changed: Draft to Pending.

Viewed
October 22, 2022 @ 6:54 am

Invoice viewed by 64.124.8.31 for the first time.