Incident #:
Loss Date:
Invoice Date:
Terms:
Fire Dept:
Bill To:
Services Rendered To:
East Texas Bridge Inc.
P.O. Box 6218
Longview, Texas 75608
Driver: Ron Myers
K & S Insurance Agency
Policy # 810-3L-402134
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Checks Payable To:
Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185
Invoice updated by Geoffrey.
Status changed: Draft to Pending.