Bill To:

ALLSTATE INSURANCE
3075 SANDERS ROAD - SUITE H1A
NORTHBROOK, IL 60062-7127

Services Rendered To:

Prit Shah
3408 W. Galveston Place
Broken Arrow, OK 74012
Ph# 918-625-5135
POLICY # 821274016


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    3
    $1,050.00

  2. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  3. 306 Gas/Co Detector (# Used)

    $50.00
    1
    $50.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    1
    $2.00

  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    3
    $300.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Cimarron Turnpike @ MM 53 - Terlton, OK

Subtotal $1,652.00
Total Due $1,652.00


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
June 14, 2022 @ 12:44 pm

Invoice updated by Geoffrey.

Status Update
June 14, 2022 @ 12:44 pm

Status changed: Draft to Pending.