Bill To:

Jasman York
213 Hopkins St
Lufkin, TX 75901

Services Rendered To:

Jasman York
213 Hopkins St
Lufkin, TX 75901


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Product
Price
Qty
Amount

  1. 406 Medical Extrication – Lvl 2

    Patient

    Quinnon Gardner
    1300 San Augustine St
    Center, TX 75935

    $1,500.00
    1
    $1,500.00

    2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: St Hwy 103 E- Lufkin, TX

Subtotal $1,500.00
Total Due $1,500.00


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
November 12, 2023 @ 10:43 pm

Invoice updated by Geoffrey.