Bill To:

Redpoint County Mutual Insurance Co.
13215 Bee Cave Parkway
Bldg. 2, Suite 150
Austin, TX 78738

Services Rendered To:

Brian Low
333 Tower Dr
Rusk, TX 75785
POLICY# ZWRKTV


Product
Price
Qty
Amount

  1. 405 Medical Extrication – Lvl 1

    Patient

    Brian Low
    333 Tower Dr
    Rusk, TX 75785
    POLICY# ZWRKTV

    $500.00
    1
    $500.00

    2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 43 S & Terrapin Neck Rd- Marshall, TX

    Ordinance Info: Harrison County ESD #4 Resolution

Subtotal $500.00
Total Due $500.00


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
June 5, 2023 @ 11:28 am

Invoice updated by Geoffrey.