Bill To:

ELEPHANT INSURANCE
PO BOX 5005
GLEN ALLEN, VA 23058-5005

Services Rendered To:

Daniel Simpson-Lopez
310 Woodhollow Court
Wylie, Texas 75098
Policy # 244-000-531-09


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00

  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  6. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00

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

    $100.00
    2
    $200.00

  8. 324 Traffic Cone (# Used)

    $5.00
    3
    $15.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 and highway 205 - Lavon, Texas

    Ordinance Info: City of Lavon Resolution No. 2020-03-01

Subtotal $1,070.00
Total Due $1,070.00

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
October 8, 2020 @ 1:53 pm

Invoice updated by Geoffrey.