Bill To:

ACCC INSURANCE
PO BOX 2081
ALPHARETTA, GA 30023-2081

Services Rendered To:

Policy# TDU20077399-2
Juan Carlos-Posada
Vehicle VIN: 1NXBR12L41Z425725


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00

  4. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 411 Highway 78, Lavon, TX

    Ordinance Info: Resolution No. 2020--03-01

Subtotal $747.00
Total Due $747.00

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
January 4, 2021 @ 2:10 pm

Invoice updated by Karen Smith.

Updated
January 4, 2021 @ 2:11 pm

Invoice updated by Karen Smith.