Bill To:

Farmers Insurance
PO Box 268993
Oklahoma City, OK 73126

Services Rendered To:

Joe Soriano Jr.
512 Airport Road
Poteau, OK 74953
Policy # 195594838


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00

  2. 410 Fire Department Response Fee – Lvl 1

    $200.00
    1
    $200.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US-266 & EW 1040 Road - Council Hill, OK

Subtotal $450.00
Total Due $450.00


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
May 16, 2021 @ 6:27 pm

Invoice updated by Geoffrey.

Status Update
May 16, 2021 @ 6:27 pm

Status changed: Draft to Pending.

Updated
May 16, 2021 @ 6:30 pm

Invoice updated by Geoffrey.