Bill To:

STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:

James Roy Wyatt
7757 La Sobrina Dr
Dallas, TX 75248
POLICY# 511 98888-L10-43 001


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    2
    $700.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00

  4. 204 Flate (# Used)

    $8.00
    6
    $48.00

  5. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00

  6. 211 Salvage Cover (Amt Used)   

    $35.00
    1
    $35.00

  7. 404 Scene Lighting (Per Hour)

    $75.00
    2
    $150.00

  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 7500 E US Hwy 82- Gainesville, TX

Subtotal $1,749.00
Total Due $1,749.00


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
December 26, 2022 @ 2:43 pm

Invoice updated by Geoffrey.

Status Update
December 26, 2022 @ 2:43 pm

Status changed: Draft to Pending.

Updated
February 28, 2023 @ 1:05 pm

Invoice updated by Sherryf.

Updated
February 28, 2023 @ 1:06 pm

Invoice updated by Sherryf.

Updated
March 3, 2023 @ 10:58 am

Invoice updated by Geoffrey.