Bill To:

Home State County Mutual Insurance
P.O. Box 8036
Waco, TX 76714-8036

Services Rendered To:

Rebecca Bauwin
618 E. Heron Street
Denison, TX 75021
Policy # TTXL-48963


Product
Price
Qty
Amount

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

    $150.00
    1
    $150.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00

  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  6. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1039 CR 109 - Whitesboro, Texas

Subtotal $746.00
Total Due $746.00


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
June 27, 2022 @ 3:01 pm

Invoice updated by Geoffrey.

Status Update
June 27, 2022 @ 3:01 pm

Status changed: Draft to Pending.