Bill To:

Consumers County Mutual Insurance
4245 N. Central Expressway, Suite 500
Dallas, TX 75205

Services Rendered To:

Lindsay Bain
518 East Gaston Drive
Wylie, Texas 75098
Policy # 601-608-916-222-1


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00

  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

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

    $100.00
    1
    $100.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 and Lake Road - Lavon, Texas

    Ordinance Info: City of Lavon, Texas - Resolution NO. 2020-03-01

Subtotal $781.00
Total Due $781.00


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
January 14, 2021 @ 6:12 pm

Invoice updated by Geoffrey.