Incident #:
Loss Date:
Invoice Date:
Terms:
Fire Dept:
Bill To:
Services Rendered To:
Lee Charles
6044 Sundown Drive
Fort Worth, Texas 76114
Policy # 142-55053-7161-001
Additional Incident Info
Checks Payable To:
Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185
Invoice updated by Geoffrey.
Status changed: Draft to Pending.