Bill To:

Falcon Insurance Company
P.O. Box 3577
Oak Brook, IL 60522

Services Rendered To:

Elba Profesional Cleaners LLC
1921 Cedar Park Dr
Arlington, TX 76009
POLICY# 0200756025


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $400.00
    1.25
    $500.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 220 NB IH 45- Richland, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $875.00
Total Due $875.00


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 21, 2023 @ 9:46 am

Invoice updated by Geoffrey.

Status Update
November 21, 2023 @ 9:46 am

Status changed: Draft to Pending.