Bill To:

STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:

Rodger Mcvistion
8301 Crime Creek
Volente, TX 78641
POLICY# 0206D96AZ043T


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00

  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00

  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  5. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00

  6. 202 Oil Absorbent Sheet (# Used)

    $2.50
    1
    $2.50

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

    $100.00
    1
    $100.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 13410 SH 45- Round Rock, TX

    Ordinance Info: Sam Bass Fire Dept. Resolution

Subtotal $1,312.50
Total Due $1,312.50


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
August 1, 2023 @ 1:32 pm

Invoice updated by Geoffrey.

Status Update
August 1, 2023 @ 1:32 pm

Status changed: Draft to Pending.