Bill To:

CEM Insurance Company
21805 Field Parkway, Suite 320
Deer Park, IL 60010

Services Rendered To:

Enrigue Valdez
403 East Flournoy
Beeville, Texas 78102
Policy # PR-000062484-03


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00

  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 36 @ FM 1489

Subtotal $1,035.00
Total Due $1,035.00

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 24, 2020 @ 4:39 pm

Invoice updated by Geoffrey.

Status Update
November 24, 2020 @ 4:39 pm

Status changed: Draft to Pending.