Bill To:

SAFECO INSURANCE
P.O. Box 5014
Scranton, PA 18505

Services Rendered To:

Jeffrey Paul Langston
2089 CR 2360
Decatur, Texas 76234
Policy # Y8535221


Product
Price
Qty
Amount

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

    BC #52

    $150.00
    1
    $150.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 11800 FM 730 and 8100 Lee Drive, Tarrant County Texas

Subtotal $300.00
Total Due $300.00

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 16, 2019 @ 7:56 pm

Invoice updated by Karen Smith.

Status Update
November 16, 2019 @ 7:56 pm

Status changed: Draft to Pending.

Updated
November 16, 2019 @ 7:59 pm

Invoice updated by Karen Smith.

Updated
June 1, 2020 @ 6:14 pm

Invoice updated by Karen Smith.