Bill To:

Liberty County Mutual
175 Berkeley Street
Boston, MA 02116

Services Rendered To:

Gia Mckinney
6534 FM 161
Daingerfield, TX 75638
POLICY# Y9675453


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    2
    $700.00

  2. 102 Engine Response (Per Hour)

    $350.00
    2
    $700.00

  3. 402 Fire/Police Services (Per Hour)    

    $100.00
    2
    $200.00

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    3
    $300.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 161- Hughes Springs, TX

Subtotal $1,900.00
Total Due $1,900.00


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
May 5, 2023 @ 12:28 pm

Invoice updated by Geoffrey.

Status Update
May 5, 2023 @ 12:28 pm

Status changed: Draft to Pending.