Bill To:

SAFECO INSURANCE
P.O. Box 5014
Scranton, PA 18505

Services Rendered To:

Jammie Ball
21765 Perry Lucas Lane
Newalla, OK 74857
POLICY # 16003322226-OY0502638


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $300.00
    2.5
    $750.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2.5
    $375.00

  3. 103 Rescue Response (Per Hour)

    $300.00
    2.5
    $750.00

  4. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

  5. 318 Ladder (# Used)

    $35.00
    1
    $35.00

  6. 301 Hand Tool (# Used)

    $15.00
    7
    $105.00

  7. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00

  8. 404 Scene Lighting (Per Hour)

    $75.00
    2.5
    $187.50

  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00

    10. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 21765 Perry Lucas Lane Newalla, OK 74857

Subtotal $2,502.50
Total Due $2,502.50


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
August 4, 2022 @ 2:59 pm

Invoice updated by Geoffrey.

Status Update
August 4, 2022 @ 2:59 pm

Status changed: Draft to Pending.