Bill To:

Protective Ins Co
P.O. Box 7099
Indianapolis, IN 46207

Services Rendered To:

Fernando Vaquedano
1030 NE 42nd Ave
Homestead, FL 33030
POLICY# B-11841


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    5
    $10.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 221 SB IH-45- Angus, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $410.00
Total Due $410.00


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
December 15, 2022 @ 6:11 pm

Invoice updated by Geoffrey.

Status Update
December 15, 2022 @ 6:11 pm

Status changed: Draft to Pending.