Bill To:

ROOT INSURANCE COMPANY
80 EAST RICH STREET - SUITE 500
COLUMBUS, OH 43215-5249

Services Rendered To:

Jennard Sacres
4841 University Dr Oak 2
Collegedale, TN 37315
POLICY# WRZLJF


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

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

    $100.00
    1
    $100.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 59 & Royal Rd- Jefferson, TX

Subtotal $750.00
Total Due $750.00


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
February 15, 2023 @ 11:00 am

Invoice updated by Geoffrey.

Status Update
February 15, 2023 @ 11:00 am

Status changed: Draft to Pending.