Bill To:

KEMPER INSURANCE
12926 GRAN BAY PARKWAY WEST
JACKSONVILLE, FL 32258-4469

Services Rendered To:

Fernando Rodriguez
Policy # BA420000013768


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00

  2. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  3. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

  4. 202 Oil Absorbent Sheet (# Used)

    $2.50
    1
    $2.50

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 11700 FM 730 North - Azle, Texas

Subtotal $382.50
Total Due $382.50


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
October 24, 2021 @ 1:44 pm

Invoice updated by Geoffrey.

Updated
October 24, 2021 @ 1:46 pm

Invoice updated by Geoffrey.

Updated
October 24, 2021 @ 2:01 pm

Invoice updated by Geoffrey.