Bill To:

Southern County Mutual Insurance Co.
PO Box 809076
Dallas, TX 75380-9076

Services Rendered To:

Jimmy Lindsey
302 East Main
Marietta, Texas 75566
Policy # 55DTX586079004833


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    Engine # 1

    $350.00
    2
    $700.00

  2. 103 Rescue Response (Per Hour)

    Rescue # 1

    $300.00
    1
    $300.00

  3. 302 Hand Light (# Used)

    $5.00
    1
    $5.00

  4. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  5. 409 Manpower (Per Hour) 

    3 Firefighters X two hours = 6 man hours

    $20.00
    6
    $120.00

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

    $100.00
    2
    $200.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: West Main Street, Marietta Texas

Subtotal $1,340.00
Total Due $1,340.00

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
December 31, 2019 @ 5:05 pm

Invoice updated by Karen Smith.

Status Update
December 31, 2019 @ 5:05 pm

Status changed: Draft to Pending.

Updated
December 31, 2019 @ 5:13 pm

Invoice updated by Karen Smith.