Bill To:

Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:

Marilyn Stultz
412 FM 2228
Douglasville, TX 75560
POLICY# 23179187


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  4. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: TX Hwy 8 N 250 South St- Douglasville, TX

    Ordinance Info: Douglassville Volunteer Fire Dept. Resolution

Subtotal $900.00
Total Due $900.00


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
July 14, 2023 @ 3:28 pm

Invoice updated by Geoffrey.

Status Update
July 14, 2023 @ 3:28 pm

Status changed: Draft to Pending.