Bill To:

Zurich North America
1299 Zurich Way
schaumburg, IL 60196-1056

Services Rendered To:

Policy# BAP9296619-10
Owner: Red Dirt Construction Company LLC
916 N. Academy
Guthrie, OK 73044
Driver: Michael Williams
8781 Overlook Dr.
Guthrie, OK 73044


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $1,000.00
    1.75
    $1,750.00

  2. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00

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

    $100.00
    1.75
    $175.00

  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

    6. Additional Incident Info

    Incident Type: Hazardous Material Response

    Incident Location: I-40, EB, MM 256.5, Checotah, OK

Subtotal $2,255.00
Total Due $2,255.00


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
January 17, 2023 @ 1:42 pm

Invoice updated by Karen Smith.

Status Update
January 17, 2023 @ 1:42 pm

Status changed: Draft to Pending.

Updated
January 17, 2023 @ 1:57 pm

Invoice updated by Karen Smith.