Bill To:

Columbia Lloyds Insurance Company
2200 West Alabama, Suite 210
Houston, TX 77098

Services Rendered To:

Mark and Renea Nunn
P.O. Box 64
Douglassville, Texas 75560
Policy # TXPH256016-19


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    Engine 1

    $350.00
    1.5
    $525.00

  2. 104 Tanker Response (Per Hour)

    Brush 1

    $300.00
    1.5
    $450.00

  3. 103 Rescue Response (Per Hour)

    Rescue 1

    $300.00
    1.5
    $450.00

  4. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00

  5. 302 Hand Light (# Used)

    $5.00
    1
    $5.00

  6. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  7. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00

  8. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    1
    $50.00

  9. 304 SCBA Cylinder (# Used)

    $25.00
    1
    $25.00

    10. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 323 West Street- Douglassville, Texas 75560

Subtotal $1,635.00
Total Due $1,635.00

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
April 7, 2020 @ 5:07 pm

Invoice updated by Karen Smith.

Status Update
April 7, 2020 @ 5:07 pm

Status changed: Draft to Pending.

Updated
June 1, 2020 @ 5:11 pm

Invoice updated by Karen Smith.

Updated
June 1, 2020 @ 5:15 pm

Invoice updated by Karen Smith.