Bill To:

Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:

Jayla Gunn
10995 SH 8 North
Douglasville, TX 75560
POLICY# 23484640


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $400.00
    1
    $400.00

  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00

  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: SH 77 W & FM 96- Douglasville, TX

    Ordinance Info: Douglassville Volunteer Fire Dept. Resolution

Subtotal $915.00
Total Due $915.00


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
October 13, 2023 @ 12:17 pm

Invoice updated by Geoffrey.

Status Update
October 13, 2023 @ 12:17 pm

Status changed: Draft to Pending.