Bill To:

USAA CASUALTY INSURANCE
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:

Theodore Brown
210 Caddo Street
Lipan, Texas 76462
Policy # 008864660


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  3. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00

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

    $100.00
    1.25
    $125.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 2300 Block of Lipan Highway - Granbury, Texas

Subtotal $757.50
Total Due $757.50


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
March 6, 2021 @ 1:20 pm

Invoice updated by Geoffrey.

Status Update
March 6, 2021 @ 1:20 pm

Status changed: Draft to Pending.

Updated
March 6, 2021 @ 1:47 pm

Invoice updated by Geoffrey.