Bill To:

Peerless Insurance
464 West Street
Keene, NH 03431-2453

Services Rendered To:

Oliver Fealto
2032 CR 2348
Marietta, Texas 75566
Policy # Y7295019


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.75
    $612.50

  2. 103 Rescue Response (Per Hour)

    $300.00
    1.75
    $525.00

  3. 302 Hand Light (# Used)

    $5.00
    2
    $10.00

  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  6. 409 Manpower (Per Hour)

    3 Firefighters 1.75 Hours each

    $50.00
    5.25
    $262.50

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Stae Highway 77 West and County Road 2338 - Cass County Texas

Subtotal $1,690.00
Total Due $1,690.00


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
November 2, 2020 @ 6:27 pm

Invoice updated by Geoffrey.

Status Update
November 2, 2020 @ 6:27 pm

Status changed: Draft to Pending.

Updated
October 4, 2021 @ 10:34 pm

Invoice updated by Geoffrey.

Updated
October 4, 2021 @ 10:35 pm

Invoice updated by Geoffrey.

Updated
October 4, 2021 @ 10:37 pm

Invoice updated by Geoffrey.