Bill To:

Farmers Insurance
PO Box 268993
Oklahoma City, OK 73126

Services Rendered To:

Amanda Muniz
605 Doma
White Oak, Texas 75693
Policy # 31875-79-06


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    11
    $3,850.00

  2. 104 Tanker Response (Per Hour)

    $300.00
    11
    $3,300.00

  3. 102 Engine Response (Per Hour)

    $350.00
    11
    $3,850.00

  4. 103 Rescue Response (Per Hour)

    $300.00
    11
    $3,300.00

  5. 105 Utility Vehicle Response (Per Hour)

    $150.00
    11
    $1,650.00

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

    $150.00
    11
    $1,650.00

  7. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    11
    $1,650.00

  8. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

  9. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    50
    $12.50

  10. 402 Fire/Police Services (Per Hour)    

    $100.00
    11
    $1,100.00

  11. 306 Gas/Co Detector (# Used)

    $50.00
    1
    $50.00

  12. 319 Generator (Per Generator/Per Hour)

    $50.00
    11
    $550.00

  13. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00

  14. 318 Ladder (# Used)

    $35.00
    1
    $35.00

  15. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  16. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00

  17. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    5
    $250.00

  18. 304 SCBA Cylinder (# Used)

    $25.00
    5
    $125.00

  19. 306 Hose Per 50′ (Amt Used)

    $25.00
    12
    $300.00

    20. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 605 Doma White Oak, Texas 75693

Subtotal $21,902.50
Total Due $21,902.50


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
January 4, 2021 @ 9:58 pm

Invoice updated by Geoffrey.

Status Update
January 4, 2021 @ 9:58 pm

Status changed: Draft to Pending.

Updated
February 24, 2021 @ 6:41 pm

Invoice updated by Geoffrey.