Bill To:

Sigo Seguros Insurance
101 Grovers Mill Road, Suite 200
Lawrenceville, NJ 08648

Services Rendered To:

Liannet Johnson
1500 Lawnmont Dr #14
Round Rock, TX 78664
POLICY# SigoTX-109395258


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00

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

    $200.00
    1
    $200.00

  3. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00

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

    $100.00
    1
    $100.00

  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Great Oaks Dr & 620- Round Rock, TX

    Ordinance Info: Sam Bass Fire Dept. Resolution

Subtotal $1,095.00
Total Due $1,095.00


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
November 7, 2023 @ 8:09 am

Invoice updated by Geoffrey.

Status Update
November 7, 2023 @ 8:09 am

Status changed: Draft to Pending.