Bill To:

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

Services Rendered To:

Jimmy Oathoudt
1515 Azalea Drive
Lufkin, TX 75980
Policy # TXP3123531


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  4. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 69 South & Highway 63 - Zavalla, Texas

Subtotal $658.00
Total Due $658.00


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
March 8, 2022 @ 2:50 pm

Invoice updated by Geoffrey.

Status Update
March 8, 2022 @ 2:50 pm

Status changed: Draft to Pending.