Bill To:

Arch Insurance Group Claims Department
P.O. Box 542033
Omaha, NE 68154

Services Rendered To:

HRIBAR Transport LLC
7213 Hwy 41
Caledonia, Wisconsin 53108
POLICY# ZACAT3330606


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    6.5
    $2,275.00

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    6.5
    $975.00

  3. 103 Rescue Response (Per Hour)

    $300.00
    6.5
    $1,950.00

  4. 404 Scene Lighting (Per Hour)

    $75.00
    6.5
    $487.50

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

    $100.00
    6.5
    $650.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Railroad Crossing FM 1997 W & 59- Woodlawn, TX

Subtotal $6,337.50
Total Due $6,337.50


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
May 15, 2023 @ 12:20 pm

Invoice updated by Geoffrey.

Status Update
May 15, 2023 @ 12:20 pm

Status changed: Draft to Pending.