Bill To:

HUDSON INSURANCE
PO Box 6818
Scranton, PA 18505-6818

Services Rendered To:

Asphalt Transport Inc.
17311 Market Street
Channelview, TX 77530
Policy # HMU200095-05


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    6.5
    $1,950.00

  2. 104 Tanker Response (Per Hour)

    $300.00
    6.5
    $1,950.00

  3. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00

  4. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00

  5. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

  6. 317 Rescue Struts (# Used)

    $50.00
    1
    $50.00

  7. 404 Scene Lighting (Per Hour)

    $75.00
    6.5
    $487.50

  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    6.5
    $650.00

  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

    10. Additional Incident Info

    Incident Type: MVA w/Entrapment Response

    Incident Location: MM 224.5 Northbound on IH 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $5,622.50
Total Due $5,622.50
Total Payments Received $5,622.50
Balance $0.00


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 30, 2022 @ 5:34 pm

Invoice updated by Geoffrey.

Status Update
March 30, 2022 @ 5:34 pm

Status changed: Draft to Pending.

Updated
February 24, 2023 @ 11:05 am

Invoice updated by Geoffrey.

Status Update
February 24, 2023 @ 4:35 pm

Status changed: Pending to Paid.

Payment
February 24, 2023 @ 9:35 pm

Admin Payment
Payment Total: $5,622.50