Bill To:

STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:

Cory Vallien
11313 Misty Mornings Street
Pearland, Texas 77584
Policy # 217 6457-E10-531 003


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

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

    $100.00
    1
    $100.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 220 Southbound Interstate Highway 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $550.00
Total Due $550.00


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 30, 2021 @ 10:39 pm

Invoice updated by Geoffrey.

Status Update
June 30, 2021 @ 10:39 pm

Status changed: Draft to Pending.