Bill To:

Farmer's Insurance
PO Box 0991
Carol Stream, IL 60132-0991

Services Rendered To:

Donald Robertson
805 E Patricia
Tecumseh, OK 74873
POLICY# 513189622


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

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

    $100.00
    1
    $100.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 337075 E Hwy 62- Meeker, OK

Subtotal $850.00
Total Due $850.00


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
January 24, 2023 @ 11:56 am

Invoice updated by Geoffrey.

Status Update
January 24, 2023 @ 11:56 am

Status changed: Draft to Pending.