Bill To:

John Farmer
408 E 5th Street
Hugotown, KS 67951

Services Rendered To:

John Farmer
408 E 5th Street
Hugotown, KS 67951


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 4475 N State Hwy 6- Woodway, TX

Subtotal $900.00
Total Due $900.00


Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.
Updated
November 9, 2022 @ 5:12 pm

Invoice updated by Geoffrey.

Status Update
November 9, 2022 @ 5:12 pm

Status changed: Draft to Pending.

Updated
November 9, 2022 @ 5:13 pm

Invoice updated by Geoffrey.

Updated
February 28, 2023 @ 1:25 pm

Invoice updated by Sherryf.