Bill To:

Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:

Keith Halloway
90 Brazoswood Drive
Granbury, Texas 76048
Policy # 21208536


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    2.25
    $675.00

  2. 404 Scene Lighting (Per Hour)

    $75.00
    2.25
    $168.75

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 3105 Lipan Highway - Granbury, Texas 76048

Subtotal $843.75
Total Due $843.75

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
December 27, 2020 @ 5:24 pm

Invoice updated by Geoffrey.

Status Update
December 27, 2020 @ 5:24 pm

Status changed: Draft to Pending.