Bill To:

Old Republic Insurance
307 N. Michigan Avenue
Chicago, IL 60601

Services Rendered To:

Landstar Ranger
13410 S. Sutton Park Drive
Jacksonville, Florida 32224
Policy # MWTT307221-222


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 229 Southbound Interstate Highway 45 - Corsicana, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $400.00
Total Due $400.00


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
March 17, 2022 @ 3:27 pm

Invoice updated by Geoffrey.