Bill To:

ALLSTATE INSURANCE
3075 SANDERS ROAD - SUITE H1A
NORTHBROOK, IL 60062-7127

Services Rendered To:

Ivan Paulouski
12510 Stoney Creek
Pearland, TX 77584
POLICY# 000000429236785


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  7. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  8. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 1462 & CR 528- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $1,415.00
Total Due $1,415.00


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 23, 2023 @ 11:14 am

Invoice updated by Geoffrey.