Bill To:

Travelers Insurance
P.O. Box 650293
Dallas, TX 75265-0293

Services Rendered To:

Willie Thomas
516 W Marshall Ave
Gladewater, TX 75647
POLICY# 8106P336106
Claim# FQT2192


Product
Price
Qty
Amount

  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  5. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00

  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  7. 203 Oil Boom (# Used)

    $20.00
    2
    $40.00

  8. 201 Oil Absorbent Material (# Used)

    $35.00
    5
    $175.00

  9. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 120 US-80- Gladewater, TX

Subtotal $1,449.00
Total Due $1,449.00


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
March 1, 2023 @ 12:20 pm

Invoice updated by Geoffrey.

Updated
May 10, 2023 @ 11:16 am

Invoice updated by Geoffrey.