Bill To:

Northland Insurance
P.O. Box 64816
St.Paul, MN 55164

Services Rendered To:

Blue Horse Express LLC
15214 Flintridge Lake Ln
Cypress, TX 77429
POLICY# WF013454


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    2.5
    $625.00

  2. 103 Rescue Response (Per Hour)

    $400.00
    2.5
    $1,000.00

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

    $100.00
    2.5
    $250.00

  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 224 NB IH 45- Angus, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $2,125.00
Total Due $2,125.00


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
November 21, 2023 @ 9:40 am

Invoice updated by Geoffrey.

Status Update
November 21, 2023 @ 9:40 am

Status changed: Draft to Pending.