Bill To:

NATIONAL CASUALTY INSURANCE
8877 NORTH GAINEY CENTER DRIVE
SCOTTSDALE, AZ 85258-2108

Services Rendered To:

MI Empresa Trucking, LLC
10219 Dawson Hill Lane
Houston, Texas 77044
LTO0068151


Product
Price
Qty
Amount

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

    $150.00
    1.25
    $187.50

  2. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  4. 331 Air Bags (# Used)

    $150.00
    2
    $300.00

  5. 316 Cribbing – Lvl 3 (Class A Truck) (Used)

    $500.00
    1
    $500.00

  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  7. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.25
    $125.00

  8. 205 Foam (Per Gallon)

    $65.00
    10
    $650.00

  9. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00

  10. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00

  11. 203 Oil Boom (# Used)

    $20.00
    2
    $40.00

  12. 201 Oil Absorbent Material (# Used)

    $35.00
    5
    $175.00

  13. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  14. 207 Wetting Agent (Amt Used)

    $25.00
    1
    $25.00

  15. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00

    16. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 727 Eastbound on Interstate 10 - Sealy, Texas

Subtotal $3,116.50
Total Due $3,116.50


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
March 24, 2022 @ 3:28 pm

Invoice updated by Geoffrey.

Status Update
March 24, 2022 @ 3:28 pm

Status changed: Draft to Pending.

Updated
March 24, 2022 @ 3:29 pm

Invoice updated by Geoffrey.

Updated
June 7, 2022 @ 5:18 pm

Invoice updated by Geoffrey.

Updated
June 7, 2022 @ 5:19 pm

Invoice updated by Geoffrey.