Bill To:

Farmers Texas County Mutual Ins. Co.
6301 Owensmouth Avenue
Woodland Hills, CA 91367

Services Rendered To:

Melinda Butler
281 Morrow Bend Road
Gainesville, Texas 76240
Policy # 45962729


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

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

    $150.00
    1
    $150.00

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

    $100.00
    1
    $100.00

  4. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1817 FM 371 - Gainesville, Texas

Subtotal $850.00
Total Due $850.00


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 17, 2021 @ 6:33 pm

Invoice updated by Geoffrey.

Status Update
May 17, 2021 @ 6:33 pm

Status changed: Draft to Pending.