Bill To:

Loya Insurance Company
1800 Lee Trevino Drive, Ste. 201
El Paso, TX 79936

Services Rendered To:

Christian Myles Brewer
Policy # 66639539854


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $300.00
    1.25
    $375.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  3. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.25
    $125.00

  4. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00

  5. 318 Ladder (# Used)

    $35.00
    1
    $35.00

  6. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00

  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  8. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  9. 232 N95 Mask (Per Unit/Per Use)

    $10.00
    5
    $50.00

    10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 223 Southbound @ Interstate Highway 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization Item NO. 7

Subtotal $1,567.50
Total Due $1,567.50


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
March 19, 2021 @ 7:09 pm

Invoice updated by Geoffrey.

Status Update
March 19, 2021 @ 7:09 pm

Status changed: Draft to Pending.

Updated
March 19, 2021 @ 7:09 pm

Invoice updated by Geoffrey.

Updated
September 29, 2021 @ 5:49 pm

Invoice updated by Geoffrey.