Bill To:

ALFA INSURANCE
207 Hwy 78 W
Jasper, AL 35501

Services Rendered To:

Jason Dobbins
151 Denson Ave
Boaz, AL 35957
POLICY# 19001717154


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.75
    $612.50

  2. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00

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

    $100.00
    1.75
    $175.00

  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 168 & Maple Rd- Albertville, AL

Subtotal $1,293.50
Total Due $1,293.50


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
May 26, 2023 @ 12:20 pm

Invoice updated by Geoffrey.

Status Update
May 26, 2023 @ 12:20 pm

Status changed: Draft to Pending.