Bill To:

Mason Rodgers
19130 Catfish Drive
Newalla, OK 74857

Services Rendered To:

Mason Rodgers
19130 Catfish Drive
Newalla, OK 74857


*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    Medical Call Response

    $150.00
    1
    $150.00

  2. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    3. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 19130 Catfish Drive Newalla, OK 74857

Subtotal $400.00
Total Due $400.00


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
March 30, 2022 @ 3:19 pm

Invoice updated by Geoffrey.

Status Update
March 30, 2022 @ 3:19 pm

Status changed: Draft to Pending.