Bill To:

USAA CASUALTY INSURANCE
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:

Laurie Hall
5343 N.E. Elk Point Road
Elgin, OK 73538
Policy # 0345583927110


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $500.00
    1.75
    $875.00

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $500.00
    1.75
    $875.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00

  5. 206 Latex Gloves (Pairs Used)

    $2.00
    5
    $10.00

  6. 201 Oil Absorbent Material (# Used)

    $35.00
    9
    $315.00

  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  8. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Stoney Point & Tackle Box Road - Lawton, OK

Subtotal $2,775.00
Total Due $2,775.00


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
February 22, 2022 @ 3:11 pm

Invoice updated by Geoffrey.

Status Update
February 22, 2022 @ 3:11 pm

Status changed: Draft to Pending.