Bill To:

Loya Insurance Company
P.O. Box 972450
El Paso, TX 79997

Services Rendered To:

Stormi Wilshire
21115 FM 850
Tyler, Texas 75790
Driver: Jonathan Willis
Policy # 65-383136399


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

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

    $150.00
    1
    $150.00

  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  5. 315 Cribbing – Lvl 2 (Class B Vehicle) (Used)

    $200.00
    1
    $200.00

  6. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  7. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 42 & Highway 80 - White Oak, Texas

    Ordinance Info: Ordinance 2021-02 Section 30-6

Subtotal $1,850.00
Total Due $1,850.00


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
June 3, 2021 @ 1:10 pm

Invoice updated by Geoffrey.

Status Update
June 3, 2021 @ 1:10 pm

Status changed: Draft to Pending.