Bill To:


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

Services Rendered To:


Nancy Page
3894 CR-551
Farmerville, TX 75442
POLICY# 370 4269-A30-43A


Product
Price
Qty
Amount
  1. 101 Aerial/Ladder Response (Per Hour)

    $550.00
    1
    $550.00
  2. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: St Hwy 78 & St Hwy 790- Nevada, TX

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

Subtotal $941.00
Total Due $941.00


Updated
April 23, 2024 @ 12:53 pm

Invoice updated by Geoffrey.

Status Update
April 23, 2024 @ 12:53 pm

Status changed: Draft to Pending.