Bill To:

STATE FARM MUTUAL INSURANCE
ONE STATE FARM PLAZA
BLOOMINGTON, IL 61710-0001

Services Rendered To:

Marilyn Cleghorn
3374 Hwy 108 W
Fureman, AR 71836
POLICY# 0410182604


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00

  3. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00

  4. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  5. 419 Environmental Spill

    $250.00
    1
    $250.00

  6. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: SH8 & Sulphur River Bridge- Cass County, TX

    Ordinance Info: Douglassville Volunteer Fire Dept. Resolution

Subtotal $1,330.00
Total Due $1,330.00


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 3, 2023 @ 2:21 pm

Invoice updated by Geoffrey.

Status Update
May 3, 2023 @ 2:21 pm

Status changed: Draft to Pending.