Bill To:

CLEAR SPRING PROPERTY & CASUALTY
227 W Monroe St Suite 2100
Chicago, IL 60606

Services Rendered To:

Policy# JGA-JTX44609.009
Owner: Jacqueline Hernandez
159 County Road 3196
Valley Mills, TX 76689


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  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. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 6 and 11th Street - Valley Mills, Texas

Subtotal $750.00
Total Due $750.00


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 9, 2020 @ 6:51 pm

Invoice updated by Karen Smith.

Status Update
November 9, 2020 @ 6:51 pm

Status changed: Draft to Pending.

Updated
January 31, 2021 @ 5:10 pm

Invoice updated by Geoffrey.

Updated
April 7, 2021 @ 12:05 pm

Invoice updated by Geoffrey.