Bill To:

Michael Brown
10804 N.E. Stone Canyon, APT.# 1115
Dallas, TX 75230

Services Rendered To:

Michael Brown
10804 N.E. Stone Canyon Apt. 1115
Dallas, Texas 75230
Policy # 6E26627


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount

  1. 101 Aerial/Ladder Response (Per Hour)

    $500.00
    1
    $500.00

  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00

  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. 324 Traffic Cone (# Used)

    $5.00
    4
    $20.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 & Highway 205 - Lavon, Texas

    Ordinance Info: City of Lavon - Resolution NO. 2020-03-01

Subtotal $1,140.00
Total Due $1,140.00


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
November 8, 2021 @ 5:05 pm

Invoice updated by Geoffrey.

Updated
November 8, 2021 @ 5:06 pm

Invoice updated by Geoffrey.