Bill To:

ALLSTATE INSURANCE
3075 SANDERS ROAD - SUITE H1A
NORTHBROOK, IL 60062-7127

Services Rendered To:

Jason Moore
110 East Hawking Parkway
Longview, TX 75605
POLICY# 416158518


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. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

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

    $100.00
    1
    $100.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 107 US Hwy 80 E- White Oak, TX

    Ordinance Info: City of White Oak Ordinance 2021-02

Subtotal $750.00
Total Due $750.00


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
March 29, 2023 @ 1:20 pm

Invoice updated by Geoffrey.

Status Update
March 29, 2023 @ 1:20 pm

Status changed: Draft to Pending.