Bill To:

GERMANIA INSURANCE COMPANY
507 Hwy. 290 E
Brenham, TX 77833

Services Rendered To:

Kenneth Golden
339 SW CR 3140
Purdon, TX 76679
POLICY # 76006313163


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1011 W Hwy 31 on the bypass- Navarro County, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $406.00
Total Due $406.00


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
September 19, 2022 @ 5:43 pm

Invoice updated by Geoffrey.

Status Update
September 19, 2022 @ 5:43 pm

Status changed: Draft to Pending.

Updated
September 19, 2022 @ 5:46 pm

Invoice updated by Geoffrey.

Updated
September 19, 2022 @ 5:47 pm

Invoice updated by Geoffrey.