Bill To:

Safeway Insurance
1505 LBJ Freeway, Suite # 170
Dallas, TX 75234

Services Rendered To:

April Creel
601 N Culberson St
Gainesville, TX 76240
POLICY# 36453989-TX-PP-002


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 9390 Fm 678- Gainesville, TX

Subtotal $885.00
Total Due $885.00


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
January 11, 2023 @ 11:04 am

Invoice updated by Geoffrey.

Status Update
January 11, 2023 @ 11:04 am

Status changed: Draft to Pending.