Bill To:


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

Services Rendered To:


John Mead
427 Jasmine Drive
Royse City, Texas 75189
Policy # 838697202

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-CN-310-2020-219-B 07/21/2020 07/28/2020 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. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 205 & County Road 483 - Lavon, Texas

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

Subtotal $646.00
Total Due $646.00
Updated
July 28, 2020 @ 10:53 am

Invoice updated by Karen Smith.

Viewed
October 24, 2022 @ 12:33 pm

Invoice viewed by 64.124.8.30 for the first time.