Bill To:

Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:

Regina Chisum
2200 County Rd 155
Whitesboro, TX 76273
POLICY# 21552049


Product
Price
Qty
Amount

  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  3. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00

  4. 204 Flate (# Used)

    $8.00
    4
    $32.00

  5. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  7. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 7750 E Hwy 82- Gainesville, TX

Subtotal $1,007.00
Total Due $1,007.00


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
December 6, 2022 @ 2:42 pm

Invoice updated by Geoffrey.