Bill To:

ALLSTATE FIRE AND CASUALTY
2775 SANDERS ROAD
NORTHBROOK, IL 60062-6110

Services Rendered To:

Policy: 801581312
David Miller
733 Portage Rd.
Cresson, PA 16630


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $500.00
    3
    $1,500.00

  2. 103 Rescue Response (Per Hour)

    $500.00
    3
    $1,500.00

  3. 105 Utility Vehicle Response (Per Hour)

    $500.00
    3
    $1,500.00

  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  5. 419 Environmental Spill

    $250.00
    1
    $250.00

  6. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

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

    $100.00
    3
    $300.00

  8. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

    10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I-40 EB, MM 249, Henryetta, OK

    Ordinance Info: Tiger Mountain - McIntosh County Resolution 72021

Subtotal $5,358.00
Total Due $5,358.00


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
April 26, 2023 @ 3:01 pm

Invoice updated by Karen Smith.

Status Update
April 26, 2023 @ 3:01 pm

Status changed: Draft to Pending.