Bill To:

Home State County Mutual Insurance
P.O. Box 8036
Waco, TX 76714-8036

Services Rendered To:

Blake Steptoe
(Owner-Driver)
(Home State Co. Mutual)
Policy #99039048513


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00

  2. 102 Engine Response (Per Hour)

    $350.00
    2
    $700.00

  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00

  5. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 2109 @ FM 3124 - Zavalla, Texas

Subtotal $1,812.00
Total Due $1,812.00


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 24, 2022 @ 4:23 pm

Invoice updated by Geoffrey.

Status Update
January 24, 2022 @ 4:23 pm

Status changed: Draft to Pending.