Incident #:
Loss Date:
Invoice Date:
Terms:
Fire Dept:
Bill To:
Services Rendered To:
Ricky Atkeisson
203 Story Lane
Corsicana, Texas 75109
Ph# 903-875-9266
Additional Incident Info
Checks Payable To:
Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185
Invoice updated by Geoffrey.
Status changed: Draft to Pending.