Bill To:

USAA CASUALTY INSURANCE
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:

Bradley Starling
2500 Richland Drive
Edmond, OK 73012-3660
Driver: Rook Starling
POLICY # 01959 46 75R 7101


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  6. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Interstate 40 Westbound @ MM 250 - Henryetta, OK

    Ordinance Info: Tiger Mountain - McIntosh County Resolution 72021

Subtotal $879.00
Total Due $879.00


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
August 24, 2022 @ 2:16 pm

Invoice updated by Geoffrey.

Status Update
August 24, 2022 @ 2:16 pm

Status changed: Draft to Pending.