Bill To:


STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:


Donald Gene Lawley
2412 Ranch Rd
Whitesboro, TX 76273
POLICY# 353 6573-G09-43A 003


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

    $350.00
    1
    $350.00
  2. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00
  3. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  4. 204 Flate (# Used)

    $8.00
    4
    $32.00
  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  6. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 8207 E Hwy 82- Gainesville, TX

Subtotal $722.00
Total Due $722.00


Updated
November 28, 2022 @ 11:40 am

Invoice updated by Geoffrey.

Viewed
February 1, 2023 @ 11:32 pm

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