Bill To:

ENCOMPASS INSURANCE
PO BOX 1623
Winston-Salem, NC 27102-1623

Services Rendered To:

Belinda Herring
4317 Hide A Way Dr
Guntersville, AL 35976
POLICY# 000000282107693


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00

  2. 331 Air Bags (# Used)

    $150.00
    1
    $150.00

  3. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00

  5. 404 Scene Lighting (Per Hour)

    $75.00
    1.5
    $112.50

  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hustleville Rd & Rice Mill Chaviers- Albertville, AL

Subtotal $974.50
Total Due $974.50

Second Notice


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
December 13, 2022 @ 12:04 pm

Invoice updated by Geoffrey.

Updated
February 2, 2023 @ 11:11 am

Invoice updated by Geoffrey.