Bill To:

Farmers Insurance
PO Box 268993
Oklahoma City, OK 73126

Services Rendered To:

Mary Hill
22039 Highway 77
Marietta, Texas 75566
Policy # 515971134


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    2
    $700.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00

  3. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00

  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  5. 409 Manpower (Per Hour)

    5 Firefighters 2 Hours each = 10 Hours

    $50.00
    10
    $500.00

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

    $100.00
    2
    $200.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 250 and State Highway 77 West - Marietta, Texas

Subtotal $2,310.00
Total Due $2,310.00


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 26, 2021 @ 12:48 pm

Invoice updated by Geoffrey.

Status Update
July 26, 2021 @ 12:48 pm

Status changed: Draft to Pending.

Updated
July 26, 2021 @ 12:49 pm

Invoice updated by Geoffrey.

Updated
December 29, 2021 @ 4:26 pm

Invoice updated by Geoffrey.

Updated
December 29, 2021 @ 4:30 pm

Invoice updated by Geoffrey.

Updated
April 11, 2022 @ 4:08 pm

Invoice updated by Geoffrey.

Updated
April 11, 2022 @ 4:09 pm

Invoice updated by Geoffrey.