Bill To:

STATE FARM MUTUAL INSURANCE
ONE STATE FARM PLAZA
BLOOMINGTON, IL 61710-0001

Services Rendered To:

Toby Johnston
300 Bourland Road # 411
Keller, Texas 76248
POLICY # 433 5054-H20-43A 001


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

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

    $150.00
    1
    $150.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 10300 East Highway 32 - Gainesville, Texas

Subtotal $500.00
Total Due $500.00


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 19, 2022 @ 6:27 pm

Invoice updated by Geoffrey.

Status Update
September 19, 2022 @ 6:27 pm

Status changed: Draft to Pending.