Bill To:

Clinton Owen
403 W Lamar St
Richland, TX 76681

Services Rendered To:

Clinton Owen
403 W Lamar St
Richland, TX 76681
POLICY# 29297


*** 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. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00

  3. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00

  4. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I-45 @ 219.5- Richland, TX

    Ordinance Info: Richland Billing Ordinance NO. 170 Cost Recovery

Subtotal $1,400.00
Total Due $1,400.00


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 16, 2022 @ 1:18 pm

Invoice updated by Geoffrey.

Status Update
December 16, 2022 @ 1:18 pm

Status changed: Draft to Pending.

Updated
March 17, 2023 @ 4:30 pm

Invoice updated by Sherryf.