Bill To:

State Farm Insurance
One State Farm Plaza
Bloomington, IL 61710

Services Rendered To:

Carolyn Finlayson
Policy# 430 1187-F21-43-002


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

  2. 218 Cervical Collar (# Used)

    $25.00
    2
    $50.00

  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: TX SH8 @ FM 995

Subtotal $602.50
Total Due $602.50

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
September 12, 2019 @ 8:26 pm

Invoice updated by Karen Smith.

Status Update
September 12, 2019 @ 8:26 pm

Status changed: Draft to Pending.

Updated
September 12, 2019 @ 8:31 pm

Invoice updated by Karen Smith.