Bill To:

NATIONAL GENERAL INSURANCE
PO BOX 3199
WINSTON SALEM, NC 27102-3199

Services Rendered To:

Franklin Thomas
13696 Highway East
Eldridge, MO 65463
POLICY# 2014561697


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00

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

    $150.00
    2
    $300.00

  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    2
    $200.00

  5. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00

  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway East and North 5 - Eldridge, MO

Subtotal $1,450.00
Total Due $1,450.00


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
April 25, 2022 @ 1:09 pm

Invoice updated by Geoffrey.

Status Update
April 25, 2022 @ 1:09 pm

Status changed: Draft to Pending.

Updated
July 20, 2022 @ 5:05 pm

Invoice updated by Geoffrey.