Bill To:

Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:

Taza Young
221 CR 3548
Atlanta, TX 75551
POLICY# 21841089


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.5
    $375.00

  2. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: SH 77W- Douglasville, TX

    Ordinance Info: Douglassville Volunteer Fire Dept. Resolution

Subtotal $390.00
Total Due $390.00


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
November 6, 2023 @ 9:41 am

Invoice updated by Geoffrey.

Status Update
November 6, 2023 @ 9:41 am

Status changed: Draft to Pending.