Bill To:

Texas Farm Bureau
7420 Fish Pond Road
Waco, TX 76710

Services Rendered To:

Bentley Brubaker
4776 County Rd 1053
Farmersville, TX 75442
POLICY# 23445647


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: N State Hwy 78/ Fm 6- Lavon, TX

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

Subtotal $525.00
Total Due $525.00


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
May 8, 2023 @ 10:19 am

Invoice updated by Geoffrey.

Status Update
May 8, 2023 @ 10:19 am

Status changed: Draft to Pending.