Bill To:

Antonio Weaver
703 North Anit
Willard, NM 87063

Services Rendered To:

Antonio Weaver
703 North Anit
Willard, NM 87063


*** 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. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. 803 Basic EMS Assistance (Response Fee)

    Driver #1 and Driver #2 Extricated from Vehicles by Fire Dept.

    $250.00
    2
    $500.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Highway 287 and FM 739 - Mildred, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $900.00
Total Due $900.00


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 18, 2022 @ 5:40 pm

Invoice updated by Geoffrey.

Status Update
July 18, 2022 @ 5:40 pm

Status changed: Draft to Pending.

Updated
July 18, 2022 @ 5:41 pm

Invoice updated by Geoffrey.