Bill To:

ALLSTATE INSURANCE
3075 SANDERS ROAD - SUITE H1A
NORTHBROOK, IL 60062-7127

Services Rendered To:

Jimmy Wright
366092 E. 5640 Road
Cleveland, OK 74020
Ph# 918-706-8494
POLICY # 931262160


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    2.75
    $962.50

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

    $150.00
    2.75
    $412.50

  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00

  5. 202 Oil Absorbent Sheet (# Used)

    $2.50
    4
    $10.00

  6. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.75
    $275.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US Highway 64 & State Highway 48 - Cleveland, OK

Subtotal $1,957.00
Total Due $1,957.00


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
June 14, 2022 @ 12:26 pm

Invoice updated by Geoffrey.

Status Update
June 14, 2022 @ 12:26 pm

Status changed: Draft to Pending.