Bill To:

Liberty County Mutual
175 Berkeley Street
Boston, MA 02116

Services Rendered To:

Michele Jessica Nungesser
3028 English Creek Drive
Azle, Texas 76020
Policy # Y8597030


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    B #49

    $300.00
    1
    $300.00

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

    BC #52

    $150.00
    1
    $150.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 11800 FM Road 730 North , 100 Lee Drive

Subtotal $450.00
Total Due $450.00

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 @ 7:22 pm

Invoice updated by Karen Smith.

Status Update
November 16, 2019 @ 7:22 pm

Status changed: Draft to Pending.