Bill To:

Matthew Smith
1904 Bentwood Court
Grapevine, TX 76051

Services Rendered To:

Matthew Smith
1904 Bentwood Court
Grapevine, Texas 76051


*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00

  2. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  4. 232 N95 Mask (Per Unit/Per Use)

    $10.00
    4
    $40.00

  5. 407 Patient Care / Evaluation (Per Patient)

    $50.00
    2
    $100.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 226 South Bound on I-45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $748.00
Total Due $748.00


Please be advised that the above-captioned account has been assigned to this office for collection

The balance due and owing to Angus Vol. Fire Department is $748.00 as of 09/23/2023

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.

Unless you notify this office within 30 days after receiving this notice that you dispute the validity of this debt or any portion thereof, this office wil assume the debt is valid. If you notify this office in writing within 30 days from receiving this notice that this debt or any portion thereof is disputed, this office will mail you a copy of the judgement obtained or verification of the debt. If you request this office in writing within 30 days after receiving this notice, this office will provide you with the name and address of the original creditor,if different from the current creditor.

THIS COMMUNICATION IS FROM A DEBT COLLOCTOR IN AN ATTEMPT TO COLLECT A DEBT. ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE


Updated
February 9, 2021 @ 1:26 am

Invoice updated by Geoffrey.

Status Update
February 9, 2021 @ 1:26 am

Status changed: Draft to Pending.

Updated
May 29, 2021 @ 4:46 pm

Invoice updated by Geoffrey.

Updated
August 31, 2021 @ 3:11 pm

Invoice updated by Geoffrey.

Updated
August 31, 2021 @ 3:13 pm

Invoice updated by Geoffrey.