Bill To:

Freeway Insurance
7711 Center Avenue # 200
Huntington Beach, CA 92647

Services Rendered To:

Lamarquis Burton
1368 J Street Apt A
Alexander City, AL
POLICY# EAB0096796


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00

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

    $150.00
    1.5
    $225.00

  3. 204 Flate (# Used)

    $8.00
    4
    $32.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00

  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  6. 201 Oil Absorbent Material (# Used)

    $35.00
    3
    $105.00

  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Old 280 @ 89S- Camp Hill, AL

Subtotal $996.00
Total Due $996.00


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
February 1, 2023 @ 12:17 am

Invoice updated by Geoffrey.

Status Update
February 1, 2023 @ 12:17 am

Status changed: Draft to Pending.