Bill To:


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

Services Rendered To:


Sergio Maldonado
7873 CR 832
Blue Ridge, TX 75424
POLICY# 416909468


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

    $550.00
    1.25
    $687.50
  2. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  3. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.25
    $125.00
  4. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  6. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: SH 78 & Hwy 6- Lavon, TX

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

Subtotal $1,277.50
Total Due $1,277.50


Updated
November 10, 2023 @ 9:51 am

Invoice updated by Geoffrey.

Status Update
November 10, 2023 @ 9:51 am

Status changed: Draft to Pending.

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March 20, 2024 @ 6:07 pm

Invoice viewed by 66.249.72.5 for the first time.

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March 30, 2024 @ 7:34 am

Invoice viewed by 66.249.72.6 for the first time.