Bill To:

Liberty County Mutual
175 Berkeley Street
Boston, MA 02116

Services Rendered To:

William Thomas
1048 County Rd 3526
Quinlan, TX 75474
POLICY# Y9571567


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00

  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  3. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 2755 & CR 2755- Lavon, TX

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

Subtotal $960.00
Total Due $960.00


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 10, 2023 @ 11:23 am

Invoice updated by Geoffrey.

Status Update
January 10, 2023 @ 11:23 am

Status changed: Draft to Pending.