Bill To:

Heather Carmichael
1301 W. 10th Street
McGregor, TX 76657-1884

Services Rendered To:

Heather Carmichael
1301 W. 10th Street
McGregor, Tx 76657-1844
Policy # 0067427177108


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount

  1. 406 Medical Extrication – Lvl 2

    Patient;

    Anthony Bumpers

    107 Johnson Street

    McGregor, TX 76657-1844

    $1,500.00
    1
    $1,500.00

    2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 979 San Ann Road - Waco, Texas

Subtotal $1,500.00
Total Due $1,500.00


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
May 13, 2022 @ 4:08 pm

Invoice updated by Geoffrey.

Updated
March 15, 2023 @ 1:31 pm

Invoice updated by Geoffrey.