Bill To:


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

Services Rendered To:


Shannon Howard
1136 Rolling Meadow Drive
Lavon, Texas 75166
Policy # 638 533 045

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-CN-310-2020-191 06/26/2020 06/28/2020 On Receipt Lavon Volunteer Fire Department

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. 401 Debris Cleanup/Removal (# Used)

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

    $2.00
    10
    $20.00
  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  7. Additional Incident Info

    Incident Type: MVA Response

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

    Ordinance Info: CITY OF LAVON TEXAS - RESOLUTION NO. 2020-03-01

Subtotal $885.00
Total Due $885.00
Updated
June 28, 2020 @ 6:56 pm

Invoice updated by Karen Smith.

Status Update
June 28, 2020 @ 6:56 pm

Status changed: Draft to Pending.

Viewed
October 25, 2022 @ 3:11 pm

Invoice viewed by 64.124.8.25 for the first time.