Bill To:

UNITED SERVICES AUTO. ASSOC. / USAA
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:

Patricia Roosevelt
1829 Sagrada
Edwards, MO 65326
POLICY# 043958521G71017


Product
Price
Qty
Amount

  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2.25
    $337.50

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2.25
    $337.50

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 203 Oil Boom (# Used)

    $20.00
    1
    $20.00

  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: St Rd FF- Edwards, MO

Subtotal $1,080.00
Total Due $1,080.00


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
December 12, 2022 @ 10:54 am

Invoice updated by Geoffrey.

Status Update
December 12, 2022 @ 10:54 am

Status changed: Draft to Pending.