Bill To:


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

Services Rendered To:


Brian Kirstein
13535 Lyndhurst Apt 10205
Austin, TX 78717
POLICY# 416476248


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

    $500.00
    1
    $500.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 202 Oil Absorbent Sheet (# Used)

    $2.50
    1
    $2.50
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  7. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 16052 N RM 620- Round Rock, TX

    Ordinance Info: Sam Bass Fire Dept. Resolution

Subtotal $1,282.50
Total Due $1,282.50


Updated
October 10, 2023 @ 10:44 am

Invoice updated by Geoffrey.

Status Update
October 10, 2023 @ 10:44 am

Status changed: Draft to Pending.