Bill To:

Home State County Mutual Insurance
P.O. Box 8036
Waco, TX 76714-8036

Services Rendered To:

Paul Hurt
893 Bob Johnson Road
China Spring, TX 76633
Policy # 99039050642


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    Command 1

    $150.00
    1
    $150.00

  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    Command 2

    $150.00
    1
    $150.00

  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  6. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00

  7. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00

  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Highway 6 and FM 185 - Waco, Texas

Subtotal $1,376.00
Total Due $1,376.00


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
April 28, 2022 @ 3:16 pm

Invoice updated by Geoffrey.

Status Update
April 28, 2022 @ 3:16 pm

Status changed: Draft to Pending.

Updated
April 28, 2022 @ 3:31 pm

Invoice updated by Geoffrey.