Bill To:

Terry Browne
P.O. Box 134
Terlton, OK 74081

Services Rendered To:

Terry Browne
P.O. Box 134
Terlton, OK 74081


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    3.25
    $1,137.50

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    3.25
    $487.50

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00

  5. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00

  6. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00

  7. 404 Scene Lighting (Per Hour)

    $75.00
    3.25
    $243.75

  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    3.25
    $325.00

  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

    10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 48 & 5700 Rd- Terlton, OK

Subtotal $2,609.75
Total Due $2,609.75


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 3, 2023 @ 2:09 pm

Invoice updated by Geoffrey.

Status Update
April 3, 2023 @ 2:09 pm

Status changed: Draft to Pending.

Updated
May 3, 2023 @ 4:39 pm

Invoice updated by Geoffrey.