Bill To:

Old American County Mutual
P.O. Box 793747
Dallas, TX 75379

Services Rendered To:

Jose Humberto Castillo
6041 Dimsley Ct
Ft Worth, TX 76137
POLICY# HGA54242


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. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 220 NB IH 45- Richland, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $400.00
Total Due $400.00


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
May 18, 2023 @ 9:57 am

Invoice updated by Geoffrey.

Status Update
May 18, 2023 @ 9:57 am

Status changed: Draft to Pending.