Bill To:

Apollo Insurance
P.O. Box 833399
Richardson, TX 75083

Services Rendered To:

NaviStart
License Plate # 111-0045
POLICY# 22-F0647


Product
Price
Qty
Amount

  1. 406 Medical Extrication – Lvl 2

    Patient

    Martin Huerta

    $1,500.00
    1
    $1,500.00

    2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Hwy 78/ Lakepointe Blvd- Lavon, TX

    Ordinance Info: City of Lavon Resolution NO. 2020-03-01

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
March 23, 2023 @ 7:25 pm

Invoice updated by Geoffrey.

Updated
June 6, 2023 @ 3:24 pm

Invoice updated by Geoffrey.