Bill To:

Germania Select Insurance Company
PO Box 645
Brenham, TX 77834

Services Rendered To:

Jason Nichols
Policy# 43043316047


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

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

    $100.00
    2
    $200.00

  3. 408 Air Medical Landing Zone (Used)

    $250.00
    1
    $250.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 1399 @ CR 2349

Subtotal $887.50
Total Due $887.50

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
September 12, 2019 @ 6:49 pm

Invoice updated by Karen Smith.

Status Update
September 12, 2019 @ 6:49 pm

Status changed: Draft to Pending.

Updated
September 12, 2019 @ 6:56 pm

Invoice updated by Karen Smith.

Updated
September 12, 2019 @ 8:36 pm

Invoice updated by Karen Smith.

Updated
September 12, 2019 @ 8:46 pm

Invoice updated by Karen Smith.