Bill To:


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

Services Rendered To:


Isaac Roundtree
7549 Fossil Ridge
Frisco, TX 75034
POLICY# 0852776C08-43L


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

    $350.00
    1
    $350.00
  2. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: SH 78 & Grand Heritage- Lavon, TX

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

Subtotal $362.00
Total Due $362.00


Updated
May 5, 2023 @ 12:22 pm

Invoice updated by Geoffrey.