Bill To:

ROOT INSURANCE COMPANY
80 EAST RICH STREET - SUITE 500
COLUMBUS, OH 43215-5249

Services Rendered To:

Andrea Thurston
427 South Fort Street
WY
Root -Policy # 68ZJKC


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 11787 FM Road 730 North - Azle, Texas

    Ordinance Info: Resolution

Subtotal $850.00
Total Due $850.00

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
March 16, 2020 @ 7:43 pm

Invoice updated by Karen Smith.

Status Update
March 16, 2020 @ 7:43 pm

Status changed: Draft to Pending.

Updated
March 16, 2020 @ 7:47 pm

Invoice updated by Karen Smith.