Bill To:

Dairyland Insurance
1800 North Point Drive
Stevens Point, WI 54481-1253

Services Rendered To:

Randall Jemison
Policy# 11404304433


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    2.5
    $875.00

  2. 409 Manpower (Per Hour)

    $20.00
    8
    $160.00

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

    $100.00
    2.5
    $250.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: SH8 @ CR 2125

Subtotal $1,285.00
Total Due $1,285.00

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
August 25, 2019 @ 1:15 am

Invoice updated by Karen Smith.

Status Update
August 25, 2019 @ 1:15 am

Status changed: Draft to Pending.

Updated
August 25, 2019 @ 7:51 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 7:54 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 7:54 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 7:54 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 7:54 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 7:56 pm

Invoice updated by Karen Smith.

Updated
November 6, 2019 @ 7:57 pm

Invoice updated by Karen Smith.