Bill To:

FARM BUREAU INSURANCE
5400 UNIVERSITY AVENUE
WEST DES MOINES, IA 50266-5997

Services Rendered To:

Larry Love
100 SH 8 South
Linden, Texas 75563
Policy # 2118770


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    Rescue 1

    $300.00
    1
    $300.00

  2. 103 Rescue Response (Per Hour)

    Rescue 2

    $300.00
    1
    $300.00

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

    $100.00
    2
    $200.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 405 North Street - Douglassville, TX

Subtotal $800.00
Total Due $800.00

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
May 7, 2020 @ 12:09 pm

Invoice updated by Karen Smith.

Status Update
May 7, 2020 @ 12:09 pm

Status changed: Draft to Pending.