Bill To:

ELEPHANT INSURANCE
PO BOX 5005
GLEN ALLEN, VA 23058-5005

Services Rendered To:

Philip Golden
2709 CR 2747
Hughes Springs, TX 75656
POLICY # 24400303324


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

  2. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00

  3. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00

  4. 302 Hand Light (# Used)

    $5.00
    1
    $5.00

  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

    6. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: FM 995 & CR 2365 - Cass County - Red Hill Community, Texas

Subtotal $912.50
Total Due $912.50
Total Payments Received $912.50
Balance $0.00


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
August 24, 2022 @ 4:22 pm

Invoice updated by Geoffrey.

Status Update
August 24, 2022 @ 4:22 pm

Status changed: Draft to Pending.

Status Update
February 24, 2023 @ 4:33 pm

Status changed: Pending to Paid.

Payment
February 24, 2023 @ 9:33 pm

Admin Payment
Payment Total: $912.50