Bill To:

Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:

Heston Wallace
5978 FM 2727
Kaulman, TX 75142
POLICY# 23431720


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00

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

    $150.00
    1.5
    $225.00

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

    $150.00
    1.5
    $225.00

  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  5. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00

  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 64 @ 4825- Ben Wheeler, TX

Subtotal $1,381.00
Total Due $1,381.00


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 @ 3:46 pm

Invoice updated by Geoffrey.

Status Update
March 27, 2023 @ 3:46 pm

Status changed: Draft to Pending.