Bill To:

Farmers Insurance
PO Box 268993
Oklahoma City, OK 73126

Services Rendered To:

Albert Hormann
147 Landmark Rd
Lawton, OK 73507
POLICY# 765158865
CLAIM# 7005602635


Product
Price
Qty
Amount

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

    $150.00
    27.75
    $4,162.50

  2. 102 Engine Response (Per Hour)

    $350.00
    27.75
    $9,712.50

  3. 102 Engine Response (Per Hour)

    $350.00
    27.75
    $9,712.50

  4. 104 Tanker Response (Per Hour)

    $300.00
    27.75
    $8,325.00

  5. 105 Utility Vehicle Response (Per Hour)

    $150.00
    27.75
    $4,162.50

  6. 309 Power Tool (# Used)

    $50.00
    5
    $250.00

  7. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    100
    $25.00

  8. 319 Generator (Per Generator/Per Hour)

    $50.00
    27.75
    $1,387.50

  9. 319 Generator (Per Generator/Per Hour)

    $50.00
    27.75
    $1,387.50

  10. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    2
    $200.00

  11. 318 Ladder (# Used)

    $35.00
    3
    $105.00

  12. 301 Hand Tool (# Used)

    $15.00
    10
    $150.00

  13. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00

  14. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    6
    $300.00

  15. 304 SCBA Cylinder (# Used)

    $25.00
    12
    $300.00

  16. 404 Scene Lighting (Per Hour)

    $75.00
    15
    $1,125.00

  17. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    27.75
    $2,775.00

  18. 306 Hose Per 50′ (Amt Used)

    $25.00
    46
    $1,150.00

    19. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 147 Landmark Rd- Lawton, OK 73507

Subtotal $45,280.00
Total Due $45,280.00


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
January 31, 2023 @ 11:59 pm

Invoice updated by Geoffrey.

Status Update
January 31, 2023 @ 11:59 pm

Status changed: Draft to Pending.