Bill To:

STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:

William Cooksy
118 Beacon Hill
Forney, TX 75126
POLICY# 504 1571-E11-43A


Product
Price
Qty
Amount

  1. 101 Aerial/Ladder Response (Per Hour)

    $550.00
    1.25
    $687.50

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

    $200.00
    1.25
    $250.00

  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50

  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

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

    $100.00
    1.25
    $125.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 2755 - Lavon, Texas

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

Subtotal $1,640.00
Total Due $1,640.00


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 19, 2023 @ 11:55 am

Invoice updated by Geoffrey.