Bill To:


ALLSTATE FIRE AND CASUALTY
2775 SANDERS ROAD
NORTHBROOK, IL 60062-6110

Services Rendered To:


Douglas Lancaster
1456 W Pine Lake Circle
Montgomery, TX 77316
POLICY# 429428749

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-KB-403-23-11652 05/18/2023 08/14/2023 On Receipt Woodlawn Fire Department

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

    $500.00
    1.25
    $625.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1.25
    $250.00
  3. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 59 & Bussey Rd- Marshall, TX

Subtotal $1,300.00
Total Due $1,300.00


Updated
August 14, 2023 @ 11:03 am

Invoice updated by Geoffrey.

Status Update
August 14, 2023 @ 11:03 am

Status changed: Draft to Pending.