Bill To:

AMERICAN HALLMARK INSURANCE SERVICES
5420 Lyndon B. Johnson Fwy., Ste. 1100
Dallas, TX 75240-2345

Services Rendered To:

Corey Pendergrass
Ph# 469-847-0734
American Hallmark
Policy # 44CL615796-01
Driver: Austin Cristales


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

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

    $150.00
    1
    $150.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00

  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  6. 201 Oil Absorbent Material (# Used)

    $35.00
    3
    $105.00

  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 and County Road 384 - Wylie, Texas

    Ordinance Info: City of Lavon - RESOLUTION NO. 2020-03-01

Subtotal $990.00
Total Due $990.00

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
November 3, 2020 @ 12:35 pm

Invoice updated by Geoffrey.

Status Update
November 3, 2020 @ 12:35 pm

Status changed: Draft to Pending.

Updated
November 15, 2020 @ 1:56 pm

Invoice updated by Karen Smith.