Bill To:

STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:

Ima Reeves
12820 Briar Road
Tarrant County, Texas 76020
Policy # 2984631J0443N001


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    T -49

    $300.00
    1
    $300.00

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. 102 Engine Response (Per Hour)

    B-49 Brush

    $350.00
    1
    $350.00

  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    C-49

    $150.00
    1
    $150.00

  5. 104 Tanker Response (Per Hour

    WT-49

    $300.00
    1
    $300.00

  6. 106 Battalion/Chief Vehicle Response (Per Hour)

    Support Investigator

    $150.00
    1
    $150.00

  7. 102 Engine Response (Per Hour)

    Attack A-49

    $350.00
    1
    $350.00

  8. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  9. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00

  10. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  11. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

  12. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  13. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    14. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 7945 Peden Road - Tarrant County, Texas

    Ordinance Info: Briar Reno - Billing Amendment Recovery Costs

Subtotal $2,471.00
Total Due $2,471.00

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
April 7, 2020 @ 3:23 pm

Invoice updated by Karen Smith.

Status Update
April 7, 2020 @ 3:23 pm

Status changed: Draft to Pending.

Updated
April 7, 2020 @ 3:24 pm

Invoice updated by Karen Smith.

Updated
April 7, 2020 @ 3:29 pm

Invoice updated by Karen Smith.

Updated
April 7, 2020 @ 3:30 pm

Invoice updated by Karen Smith.