Display and sort custom post type posts.

Ok, I’ve seen different snippets of what I need around, but I’ve been having trouble putting it all together. I have a custom post type for schools. The title is the school name, and I have 2 custom fields, one for state, one for city.

I would like to list the posts as follows:
1) Filtered by state
2) Ordered first by City
3) Ordered second by title

Thanks in advance for the help, I can normally research and fumble around to figure it out, but I’ve just had a hard time with this.