Bill To:

MGA INSURANCE COMPANY
3333 Lee Parkway Suite 1200 PO Box 199023
Dallas, TX 75219

Services Rendered To:

Juan Enrique Garcia Cabrera
6814 De Palama
San Antonio, TX 78239
POLICY# 03MGEP1136379


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

  2. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00

  5. 201 Oil Absorbent Material (# Used)

    $35.00
    10
    $350.00

  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 78 & FM 725- McQueeny, TX

    Ordinance Info: RESOLUTION-McQueeney Cost Recovery Resolution 4521

Subtotal $1,700.00
Total Due $1,700.00


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
November 21, 2022 @ 5:57 pm

Invoice updated by Geoffrey.

Status Update
November 21, 2022 @ 5:57 pm

Status changed: Draft to Pending.

Updated
November 21, 2022 @ 6:02 pm

Invoice updated by Geoffrey.