Bill To:

STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:

David Evans
1311 Sherman Drive
Whitesboro, Texas 76273
Policy # 469-8335-E11-43B-001


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

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

    $150.00
    1
    $150.00

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00

  4. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

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

    $100.00
    1
    $100.00

  6. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: CR 109 & CR 132 - Gainesville, Texas

Subtotal $929.00
Total Due $929.00


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
June 22, 2021 @ 1:35 pm

Invoice updated by Geoffrey.

Status Update
June 22, 2021 @ 1:35 pm

Status changed: Draft to Pending.