Bill To:

Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:

Great White Industries
10946 Reinecker Road
Orchard, Texas 77464
Driver: Angel Orazco
Policy # 10026068CA
CLAIM # 822729


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.75
    $612.50

  2. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.75
    $175.00

  3. 319 Generator (Per Generator/Per Hour)

    $50.00
    1.75
    $87.50

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  6. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 1489 @ Reinecker Road - Orchard, Texas

Subtotal $938.00
Total Due $938.00

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 19, 2020 @ 3:01 pm

Invoice updated by Geoffrey.

Status Update
October 19, 2020 @ 3:01 pm

Status changed: Draft to Pending.

Updated
October 19, 2020 @ 3:11 pm

Invoice updated by Geoffrey.

Updated
November 20, 2020 @ 12:18 pm

Invoice updated by Geoffrey.

Updated
November 20, 2020 @ 12:19 pm

Invoice updated by Geoffrey.