Bill To:

Home State County Mutual Insurance
P.O. Box 8036
Waco, TX 76714-8036

Services Rendered To:

Linette Payan
20522 Benford Ridge Ln
Cypress, TX 77433
POLICY# 2016816797


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

    3. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 288 SB- Rosharon, TX

Subtotal $500.00
Total Due $500.00


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 9, 2023 @ 12:20 pm

Invoice updated by Geoffrey.

Status Update
June 9, 2023 @ 12:20 pm

Status changed: Draft to Pending.