Bill To:

Old Republic Insurance
307 N. Michigan Avenue
Chicago, IL 60601

Services Rendered To:

Penske Leasing & Rental
221 East Airtex
Houston, Texas 77073
Policy # MWTB 311325


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $300.00
    2.5
    $750.00

  2. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

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

    $100.00
    2.5
    $250.00

  4. 232 N95 Mask (Per Unit/Per Use)

    $10.00
    2
    $20.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 218 Southbound @ Interstate 45 - Richland, Texas

    Ordinance Info: City of Angus Billing Authorization Item # 7

Subtotal $1,028.00
Total Due $1,028.00


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
March 31, 2021 @ 5:04 pm

Invoice updated by Geoffrey.

Status Update
March 31, 2021 @ 5:04 pm

Status changed: Draft to Pending.

Updated
March 31, 2021 @ 5:05 pm

Invoice updated by Geoffrey.

Updated
April 20, 2021 @ 5:52 pm

Invoice updated by Geoffrey.

Updated
September 29, 2021 @ 3:59 pm

Invoice updated by Geoffrey.

Updated
October 18, 2021 @ 10:16 am

Invoice updated by Geoffrey.