Bill To:

STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:

Scott Bevis
202 North Whatley
White Oak, Texas 75693
Claim # 43-09G117X


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. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  4. 306 Gas/Co Detector (# Used)

    $50.00
    1
    $50.00

  5. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00

  6. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00

  7. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00

  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

    9. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 202 North Whatley White Oak, Texas 75693

Subtotal $1,225.00
Total Due $1,225.00

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
December 26, 2020 @ 6:21 pm

Invoice updated by Geoffrey.

Status Update
December 26, 2020 @ 6:21 pm

Status changed: Draft to Pending.

Updated
December 26, 2020 @ 6:21 pm

Invoice updated by Geoffrey.

Updated
December 26, 2020 @ 6:24 pm

Invoice updated by Geoffrey.