Bill To:

FOREMOST INSURANCE
PO BOX 2450
GRAND RAPIDS, MI 49501-2450

Services Rendered To:

Flores
7307 LE Havre Road
Houston, Texas 77033
POLICY # GO1 1884764 00


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00

  3. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00

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

    $100.00
    1
    $100.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 725 Eastbound on Interstate 10 - Sealy, Texas

Subtotal $760.00
Total Due $760.00


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
June 16, 2022 @ 3:48 pm

Invoice updated by Geoffrey.

Status Update
June 16, 2022 @ 3:48 pm

Status changed: Draft to Pending.