Bill To:

Equity Insurance Company
616 S. Boston Avenue #500
Tulsa, OK 74119

Services Rendered To:

Penny Plummer
909 West M. L. King Ave
Duncan, OK 73533
POLICY # N35296529


Product
Price
Qty
Amount

  1. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  2. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: West of Trail Road on State Highway 7

Subtotal $258.00
Total Due $258.00


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
September 26, 2022 @ 5:19 pm

Invoice updated by Geoffrey.

Status Update
September 26, 2022 @ 5:19 pm

Status changed: Draft to Pending.

Updated
September 26, 2022 @ 5:20 pm

Invoice updated by Geoffrey.

Updated
March 8, 2023 @ 12:33 pm

Invoice updated by Geoffrey.