Bill To:

Certus Thomas
13695 SSR-E
Eldridge, MO 65463

Services Rendered To:

Certus Thomas
13695 Highway e
Eldridge, MO 65463


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 13695 Highway E- Eldridge, MO

Subtotal $400.00
Total Due $400.00


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
March 27, 2023 @ 3:58 pm

Invoice updated by Geoffrey.

Status Update
March 27, 2023 @ 3:58 pm

Status changed: Draft to Pending.

Updated
May 8, 2023 @ 4:30 pm

Invoice updated by Geoffrey.