Bill To:

Allmerica Financial Benefit
440 Lincoln Street
Worcester, MA 01653

Services Rendered To:

Varcable LLC
7607 Field Stone Ct
Houston, TX 77095
POLICY# AWDA728270


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

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

    $100.00
    1
    $100.00

  6. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: SE I-10 Frontage Rd- Sealy, TX 77474

Subtotal $1,030.00
Total Due $1,030.00
Total Payments Received $1,030.00
Balance $0.00


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
October 5, 2022 @ 3:13 pm

Invoice updated by Geoffrey.

Status Update
October 5, 2022 @ 3:13 pm

Status changed: Draft to Pending.

Status Update
December 29, 2022 @ 1:23 pm

Status changed: Pending to Paid.

Payment
December 29, 2022 @ 6:23 pm

Admin Payment
Payment Total: $1,030.00