Bill To:

Consumers County Mutual Insurance
4245 N. Central Expressway, Suite 500
Dallas, TX 75205

Services Rendered To:

Camerino Arteaga
1100 S.W. McKinney St.
Rice, Texas 75155
Policy # 6080850552221


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00

  2. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00

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

    $100.00
    1.5
    $150.00

  4. 302 Hand Light (# Used)

    $5.00
    2
    $10.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 5700 Block S.E. County Road 1020 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $616.00
Total Due $616.00


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
July 13, 2021 @ 3:26 pm

Invoice updated by Geoffrey.

Status Update
July 13, 2021 @ 3:26 pm

Status changed: Draft to Pending.