Bill To:

SAFECO INSURANCE
P.O. Box 5014
Scranton, PA 18505

Services Rendered To:

Edward Saucier
2800 Carrington Pointe
Ft. Smith, Arkansas 72903
Policy # F3379158


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $500.00
    1.25
    $625.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  3. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Interstate 40 @ MM 251 - Checotah, OK

Subtotal $1,000.00
Total Due $1,000.00


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
May 6, 2021 @ 7:09 pm

Invoice updated by Geoffrey.

Status Update
May 6, 2021 @ 7:09 pm

Status changed: Draft to Pending.