Bill To:

Missouri Farm Bureau
701 S. Country Club Drive P.O. Box 658
Jefferson City, MO 65102

Services Rendered To:

Hannah Henson
30856 Pelican Dr
Lebanon, MO 65536
POLICY# APVO444235


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: BB & Orchard Rd- Lebanon, MO

Subtotal $600.00
Total Due $600.00


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
July 10, 2023 @ 10:48 am

Invoice updated by Geoffrey.

Status Update
July 10, 2023 @ 10:48 am

Status changed: Draft to Pending.

Updated
July 18, 2023 @ 3:42 pm

Invoice updated by Geoffrey.

Updated
July 18, 2023 @ 3:46 pm

Invoice updated by Geoffrey.