Bill To:


Liberty County Mutual
175 Berkeley Street
Boston, MA 02116

Services Rendered To:


Robert Whitten
1022 Shepard Lane
Lavon, Texas 75166
Policy # Y764


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

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

    $2.00
    4
    $8.00
  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  4. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 324 Traffic Cone (# Used)

    $5.00
    6
    $30.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 and Rettop Road - Lavon, Texas

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

Subtotal $573.00
Total Due $573.00
Updated
October 2, 2020 @ 1:32 pm

Invoice updated by Geoffrey.

Status Update
October 2, 2020 @ 1:32 pm

Status changed: Draft to Pending.