Bill To:

Falcon Insurance Company
P.O. Box 3577
Oak Brook, IL 60522

Services Rendered To:

Hector Jose Villasmil-Zerpa
5075 Pear Ridge, Apt. # 436
Dallas, TX 75287
POLICY # 0200635848


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  4. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75

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

    $100.00
    1.25
    $125.00

  6. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 227 Northbound on Interstate 45 - Corsicana, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,081.25
Total Due $1,081.25


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
July 18, 2022 @ 5:57 pm

Invoice updated by Geoffrey.

Status Update
July 18, 2022 @ 5:57 pm

Status changed: Draft to Pending.