Bill To:


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

Services Rendered To:


Barbara Lechler
130 Private Road
Broaddus, Texas 75929
Policy # 629-746-601

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-201-C21-16346-A 06/28/2021 07/01/2021 On Receipt Angus Vol. Fire Department

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

    $300.00
    1.75
    $525.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00
  3. 326 Safety Fest (# Used)

    $2.50
    2
    $5.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 223 Northbound on Interstate 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $735.00
Total Due $735.00


Updated
June 30, 2021 @ 10:59 pm

Invoice updated by Geoffrey.

Status Update
June 30, 2021 @ 10:59 pm

Status changed: Draft to Pending.

Updated
June 30, 2021 @ 11:00 pm

Invoice updated by Geoffrey.

Updated
June 30, 2021 @ 11:00 pm

Invoice updated by Geoffrey.

Viewed
August 4, 2021 @ 1:09 pm

Invoice viewed by Karen Smith (KarenS) for the first time.

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October 22, 2022 @ 8:36 am

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