Bill To:

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

Services Rendered To:

Caleb Etchison
7036 CR 34
Dadeville, AL 36853
POLICY# 5458588-C28-01


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

    2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 4400 Block of CR 34- Camp Hill, AL

Subtotal $300.00
Total Due $300.00


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
February 1, 2023 @ 5:10 pm

Invoice updated by Geoffrey.

Status Update
February 1, 2023 @ 5:10 pm

Status changed: Draft to Pending.