Bill To:

Daniel Portella Gomes
1072 W Winding Creek Dr # 111
Grapevine, TX 76051

Services Rendered To:

Daniel Portella Gomes
1312 Sherman Dr
Whitesboro, TX 76273
POLICY# 00000000216


*** Please Submit this to your AUTO Insurance Company for processing and payment, OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount

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

    $150.00
    1
    $150.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  3. 204 Flare (# Used)

    $8.00
    4
    $32.00

  4. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 8372 US Hwy 82- Oak Ridge, TX

Subtotal $707.00
Total Due $707.00


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 18, 2023 @ 12:45 pm

Invoice updated by Geoffrey.

Status Update
January 18, 2023 @ 12:45 pm

Status changed: Draft to Pending.

Updated
March 17, 2023 @ 4:09 pm

Invoice updated by Sherryf.