Bill To:

Jamie Ramos
1703 MorningSide Dr
Gainesville, TX 76240

Services Rendered To:

Jamie Ramos
1703 MorningSide Dr
Gainesville, TX 76240
POLICY# 485 8552-G15-43 001


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount

  1. 406 Medical Extrication – Lvl 2

    Patient

    Samuel Eli Ramos

    $1,500.00
    1
    $1,500.00

    2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: CR 163 & US Hwy 82- Gainesville, TX

Subtotal $1,500.00
Total Due $1,500.00


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
January 23, 2023 @ 11:35 am

Invoice updated by Geoffrey.

Updated
May 23, 2023 @ 4:47 pm

Invoice updated by Geoffrey.