Bill To:

Mark Blackstone
3900 Lakeside Drive
The Colony, TX 75056

Services Rendered To:

Mark Blackstone
3900 Lakeside Drive
The Colony, Texas 75056


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Product
Price
Qty
Amount

  1. 406 Medical Extrication – Lvl 2

    Patient:

    Mark Blackstone
    3900 Lakeside Drive
    The Colony, Texas 75056

    $1,500.00
    1
    $1,500.00

    2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 281 S. @ Honey Creek Bridge - Hamilton County, Texas

Subtotal $1,500.00
Total Due $1,500.00


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
August 25, 2021 @ 5:09 pm

Invoice updated by Geoffrey.