Bill To:

Gainsco Insurance
3333 Lee Parkway #1200
Dallas, TX 75219

Services Rendered To:

Ryan Shuemake
2401 Bridge Street
Gatesville, Texas 76528
Policy # 03MEGP1254525


Product
Price
Qty
Amount

  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2.25
    $337.50

  2. 103 Rescue Response (Per Hour)

    $300.00
    2.25
    $675.00

  3. 102 Engine Response (Per Hour)

    $350.00
    2.25
    $787.50

  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  5. 319 Generator (Per Generator/Per Hour)

    $50.00
    2.25
    $112.50

  6. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00

  7. 404 Scene Lighting (Per Hour)

    $75.00
    2.25
    $168.75

  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.25
    $225.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 3935 County Road 238 - Gatesville, Texas

    Ordinance Info: Turnersville, Texas - Policy # 55 Recovery of Services Costs

Subtotal $2,560.25
Total Due $2,560.25

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
July 28, 2020 @ 11:22 am

Invoice updated by Karen Smith.

Status Update
July 28, 2020 @ 11:22 am

Status changed: Draft to Pending.