Bill To:

USAA CASUALTY INSURANCE
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:

Kristin Olszewski
2213 Huntington
Wylie, Texas 75078
Policy # 009090553R71010


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    Squad 1

    $150.00
    1
    $150.00

  2. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Lake Road and Moore Road - Lavon, Texas

    Ordinance Info: CITY OF LAVON TEXAS - RESOLUTION NO. 2020-03-01

Subtotal $258.00
Total Due $258.00

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
June 17, 2020 @ 2:48 pm

Invoice updated by Karen Smith.

Status Update
June 17, 2020 @ 2:48 pm

Status changed: Draft to Pending.