Bill To:

JUSTIN OLSEN
3300 Fallmeadow St., Apt. 2109A
Denton, TX 86207

Services Rendered To:

Justin Olson
1408 Gilley Trail
Azle, TX 76020
Driver: Sam Sons
Policy # 22063


*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND IGNORED. THIS IS NOW YOUR RESPONSIBILITY. ***

Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00

  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  5. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00

  6. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  8. 326 Safety Fest (# Used)

    $2.50
    3
    $7.50

  9. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00

  10. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    11. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Intersection of Long Avenue and Gilley Trail - Pelican Bay, Texas

    Ordinance Info: Briar Reno Cost Recovery Amendment

Subtotal $1,269.50
Total Due $1,269.50


Please be advised that the above-captioned account has been assigned to this office for collection

The balance due and owing to Briar-Reno Fire Department is $1,269.50 as of 06/07/2023

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.

Unless you notify this office within 30 days after receiving this notice that you dispute the validity of this debt or any portion thereof, this office wil assume the debt is valid. If you notify this office in writing within 30 days from receiving this notice that this debt or any portion thereof is disputed, this office will mail you a copy of the judgement obtained or verification of the debt. If you request this office in writing within 30 days after receiving this notice, this office will provide you with the name and address of the original creditor,if different from the current creditor.

THIS COMMUNICATION IS FROM A DEBT COLLOCTOR IN AN ATTEMPT TO COLLECT A DEBT. ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE


Updated
January 11, 2021 @ 5:02 pm

Invoice updated by Geoffrey.

Status Update
January 11, 2021 @ 5:02 pm

Status changed: Draft to Pending.

Updated
October 19, 2021 @ 3:24 pm

Invoice updated by Geoffrey.

Updated
June 2, 2022 @ 5:08 pm

Invoice updated by Karen Smith.

Updated
June 2, 2022 @ 5:09 pm

Invoice updated by Karen Smith.

Updated
August 3, 2022 @ 6:22 pm

Invoice updated by Karen Smith.