Bill To:

Liberty County Mutual
175 Berkeley Street
Boston, MA 02116

Services Rendered To:

Jacob Scarborough
531 Lazy Acres
Woodway, Texas 76712
Policy # Y9088067


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Lazy Acres Drive - Waco, Texas

Subtotal $400.00
Total Due $400.00


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
March 17, 2022 @ 12:21 pm

Invoice updated by Geoffrey.

Status Update
March 17, 2022 @ 12:21 pm

Status changed: Draft to Pending.

Updated
March 17, 2022 @ 12:21 pm

Invoice updated by Geoffrey.