Bill To:

ACCC Insurance Company
P.O. Box 680247
Houston, TX 77268-0247

Services Rendered To:

Jacob McCuen
13240 Highway 77 West
Douglassville, Texas 75560
Policy # TXP3153675-8


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    2.5
    $875.00

  2. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  3. 105 Utility Vehicle Response (Per Hour)

    3 Units Responding @ 2.5 Hours ea.

    $150.00
    7.5
    $1,125.00

  4. 409 Manpower (Per Hour)

    $50.00
    6
    $300.00

  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Highway 8 and County Road 2338 - Cass County

Subtotal $2,580.00
Total Due $2,580.00

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
September 15, 2020 @ 1:13 pm

Invoice updated by Geoffrey.

Status Update
September 15, 2020 @ 1:13 pm

Status changed: Draft to Pending.

Updated
November 27, 2020 @ 6:42 pm

Invoice updated by Geoffrey.