Bill To:

Farmers Texas County Mutual Ins. Co.
6301 Owensmouth Avenue
Woodland Hills, CA 91367

Services Rendered To:

Stacey Swiney
440 VZ CR 4714
Ben Wheeler, TX 75754
Policy # 46794209


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.25
    $125.00

  5. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  6. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75

  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: CR 4909 @ CR 4908 - Ben Wheeler, Texas

Subtotal $976.75
Total Due $976.75


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 7, 2021 @ 7:39 pm

Invoice updated by Geoffrey.

Status Update
June 7, 2021 @ 7:39 pm

Status changed: Draft to Pending.