Bill To:

Hertz
8501 Williams Road
Estero, FL 33928

Services Rendered To:

Tammy Morgan
49723 Kettle Mills Rd
Hampshire, TN 38461
Vin# 3N1CN8EV7ML924447
LICENSE PLATE# BHN-X05


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    2
    $700.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00

  3. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

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

    $100.00
    2
    $200.00

  7. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  8. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I-40 E Bound MM 250- Henryetta, OK

    Ordinance Info: Tiger Mountain - McIntosh County Resolution 72021

Subtotal $1,523.00
Total Due $1,523.00


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
December 26, 2022 @ 2:28 pm

Invoice updated by Geoffrey.

Status Update
December 26, 2022 @ 2:28 pm

Status changed: Draft to Pending.