Incident #:
Loss Date:
Invoice Date:
Terms:
Fire Dept:
Bill To:
Services Rendered To:
Shawna Barfield
402 NE Benbrook Rd
Apache, OK 73006
POLICY# 1499091
Additional Incident Info
Checks Payable To:
Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185
Invoice updated by Geoffrey.
Status changed: Draft to Pending.