Bill To:

United Financial Casualty Company
6300 Wilson Mills Road
Mayfield Village, OH 44143

Services Rendered To:

Four States Transport
102 Hwy 108
Ashdown, AR 71822
POLICY# 963825502


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    5.25
    $1,837.50

  2. 104 Tanker Response (Per Hour)

    $300.00
    5.25
    $1,575.00

  3. 103 Rescue Response (Per Hour)

    $300.00
    5.25
    $1,575.00

  4. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    5.25
    $525.00

  6. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US Hwy 59 N @ Suburban Acre- Marshall, TX

Subtotal $5,637.50
Total Due $5,637.50


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
February 20, 2023 @ 10:53 am

Invoice updated by Geoffrey.

Status Update
February 20, 2023 @ 10:53 am

Status changed: Draft to Pending.