Bill To:

STATE FARM MUTUAL INSURANCE
ONE STATE FARM PLAZA
BLOOMINGTON, IL 61710-0001

Services Rendered To:

Sarah Wharton
6317 Kelly Rd
Pearland, TX 77581
POLICY# 441 1962-B01-53


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  3. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

  4. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00

  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  7. 201 Oil Absorbent Material (# Used)

    $35.00
    10
    $350.00

  8. 207 Wetting Agent (Amt Used)

    $25.00
    1
    $25.00

    9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: CR 56- Rosharon, TX

Subtotal $2,187.50
Total Due $2,187.50


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
June 9, 2023 @ 11:31 am

Invoice updated by Geoffrey.

Status Update
June 9, 2023 @ 11:31 am

Status changed: Draft to Pending.