Bill To:

STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:

Alexander Jones
1220 Old Greystone Drive
Lithonia, GA 30058
POLICY # 112C919053


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00

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

    $100.00
    1
    $100.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Highway 7 West of Bethel Rd- Lawton, OK

Subtotal $466.00
Total Due $466.00


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
September 28, 2022 @ 2:00 pm

Invoice updated by Geoffrey.

Status Update
September 28, 2022 @ 2:00 pm

Status changed: Draft to Pending.

Updated
September 28, 2022 @ 2:14 pm

Invoice updated by Geoffrey.

Updated
November 16, 2022 @ 4:57 pm

Invoice updated by Geoffrey.