Bill To:

Old American County Mutual
P.O. Box 793747
Dallas, TX 75379

Services Rendered To:

Kirsten Piper
9155 Ridge Breeze
San Antonio, TX 78250
POLICY# HUGO-135432


Product
Price
Qty
Amount

  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00

  2. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00

  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00

  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  6. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

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

    $100.00
    1
    $100.00

  8. 419 Environmental Spill

    $250.00
    1
    $250.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 4100 Business 35 S- Rockport, TX

Subtotal $1,600.00
Total Due $1,600.00


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
July 10, 2023 @ 12:18 pm

Invoice updated by Geoffrey.