Bill To:

STATE FARM MUTUAL INSURANCE
ONE STATE FARM PLAZA
BLOOMINGTON, IL 61710-0001

Services Rendered To:

Kathleen Tillman
1815 Prairie View Drive
Princeton, TX 75407
Policy # 3316904C0243H


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    2.25
    $787.50

  2. 103 Rescue Response (Per Hour)

    $300.00
    2.25
    $675.00

  3. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00

  4. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 901 - Sadler, Texas

Subtotal $1,607.50
Total Due $1,607.50


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 23, 2022 @ 2:21 pm

Invoice updated by Geoffrey.

Status Update
March 23, 2022 @ 2:21 pm

Status changed: Draft to Pending.

Updated
March 9, 2023 @ 4:45 pm

Invoice updated by Geoffrey.