Bill To:

DAIRYLAND INSURANCE
1800 NORTH POINT DRIVE
STEVENS POINT, WI 54481-1253

Services Rendered To:

Jimmy Pinner
1082 Shop Branch Road
Huntington, Tx 75949
POLICY # 11407182306


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 11795 Highway 69 South - Huntington, Texas

Subtotal $400.00
Total Due $400.00


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
May 12, 2022 @ 1:52 pm

Invoice updated by Geoffrey.

Status Update
May 12, 2022 @ 1:52 pm

Status changed: Draft to Pending.

Updated
May 12, 2022 @ 1:55 pm

Invoice updated by Geoffrey.

Updated
March 17, 2023 @ 4:50 pm

Invoice updated by Sherryf.