Bill To:

Loya Insurance Company
P.O. Box 972450
El Paso, TX 79997

Services Rendered To:

Bobby Tinney
310 CR 4659
Rhome, Texas 76078
Policy # 65-528215860


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00

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

    $150.00
    1
    $150.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00

  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  6. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  7. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 8190 Moran Road - Azle, Texas

    Ordinance Info: Briar Reno/Azle : Cost Recovery Amendment

Subtotal $846.00
Total Due $846.00

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 17, 2020 @ 5:39 pm

Invoice updated by Karen Smith.

Status Update
July 17, 2020 @ 5:39 pm

Status changed: Draft to Pending.