Bill To:

SHOA Logistics LLC
4104 SH-349
Midland, TX 79706

Services Rendered To:

Terry Vaught Jr
564 Private Rd 3526
Kilgore, TX 75604
POLICY# 642427113


Product
Price
Qty
Amount

  1. 406 Medical Extrication – Lvl 2

    Patient

    Konnor Taylor
    371 Mount Carmel #25
    Lufkin, TX 75904

    $1,500.00
    1
    $1,500.00

    2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Crain Rd & US Hwy 103 E- Lufkin, TX

Subtotal $1,500.00
Total Due $1,500.00


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
October 10, 2023 @ 10:29 am

Invoice updated by Geoffrey.

Updated
October 18, 2023 @ 10:55 am

Invoice updated by Geoffrey.