Bill To:

FARM BUREAU INSURANCE
5400 UNIVERSITY AVENUE
WEST DES MOINES, IA 50266-5997

Services Rendered To:

Kristine Pillar
8435 FM 182
Gatesville, Texas 76528
Policy # 21730199


Product
Price
Qty
Amount

  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    3.5
    $525.00

  2. 102 Engine Response (Per Hour)

    $350.00
    3.5
    $1,225.00

  3. 102 Engine Response (Per Hour)

    $350.00
    3.5
    $1,225.00

  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    3.5
    $525.00

  5. 103 Rescue Response (Per Hour)

    $300.00
    3.5
    $1,050.00

  6. 105 Utility Vehicle Response (Per Hour)

    $150.00
    3.5
    $525.00

  7. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  8. 205 Foam (Per Gallon)

    $65.00
    2
    $130.00

  9. 319 Generator (Per Generator/Per Hour)

    $50.00
    3.5
    $175.00

  10. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00

  11. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00

  12. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00

  13. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  14. 306 Hose Per 50′ (Amt Used)

    $25.00
    4
    $100.00

  15. 409 Manpower (Per Hour)

    $20.00
    9
    $180.00

    16. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 2 Miles North of Highway 36 on FM 182 - Gatesville, Texas

    Ordinance Info: Turnersville Policy # 55 Cost Recovery Amendment / 1-1-2020

Subtotal $6,220.00
Total Due $6,220.00

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
July 20, 2020 @ 11:34 pm

Invoice updated by Karen Smith.

Status Update
July 20, 2020 @ 11:34 pm

Status changed: Draft to Pending.