Bill To:

Timothy & Catherine Ingraham
6831 Briar Road
Azle, TX 76020

Services Rendered To:

Timothy & Catherine Ingraham
6831 Briar Road
Azle, Texas 76020
Policy # 886 399 800


*** 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. 104 Tanker Response (Per Hour)

    $300.00
    2
    $600.00

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

    $150.00
    2
    $300.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

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

    $100.00
    2
    $200.00

  7. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  8. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 7120 Briar Road - Azle, Texas

Subtotal $1,668.00
Total Due $1,668.00


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 23, 2021 @ 7:25 pm

Invoice updated by Geoffrey.

Updated
June 12, 2022 @ 3:18 pm

Invoice updated by Karen Smith.