Bill To:

Farmers Insurance
PO Box 268993
Oklahoma City, OK 73126

Services Rendered To:

Zachary Ingle
225 LCR 209
Mexia, TX 76667
POLICY# 514561114


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    2
    $700.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00

  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  6. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 438 LCR 664-Mexia, TX 76667

Subtotal $1,395.00
Total Due $1,395.00


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
October 5, 2022 @ 3:27 pm

Invoice updated by Geoffrey.

Status Update
October 5, 2022 @ 3:27 pm

Status changed: Draft to Pending.