Bill To:

STATE FARM FIRE CLAIMS
PO BOX 106169
ATLANTA, GA 30348-6169

Services Rendered To:

Bryan Block
9660 Sunset Drive
Lavon, Texas 75166
Claim # 4307L089X


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    Engine 1

    $350.00
    10.25
    $3,587.50

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    Command 1

    $150.00
    10.25
    $1,537.50

  3. 105 Utility Vehicle Response (Per Hour)

    Squad 1

    $150.00
    10.25
    $1,537.50

  4. 105 Utility Vehicle Response (Per Hour)

    Brush 1

    $150.00
    5.75
    $862.50

  5. 208 Fire Line Tap (Per Foot, Amt Used)

    50′ per roll x 4

    $0.25
    200
    $50.00

  6. 306 Gas/Co Detector (# Used)

    $50.00
    1
    $50.00

  7. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    2
    $200.00

  8. 318 Ladder (# Used)

    $35.00
    5
    $175.00

  9. 301 Hand Tool (# Used)

    $15.00
    10
    $150.00

  10. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    12
    $600.00

  11. 304 SCBA Cylinder (# Used)

    $25.00
    24
    $600.00

  12. 311 PPV / Ventilation Fan (# Used)

    $50.00
    2
    $100.00

  13. 211 Salvage Cover (Amt Used)   

    $35.00
    1
    $35.00

  14. 306 Hose Per 50′ (Amt Used)

    $25.00
    15
    $375.00

  15. 205 Foam (Per Gallon)

    $65.00
    5
    $325.00

    16. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 9660 Sunset Drive Lavon, Texas 75166

    Ordinance Info: CITY OF LAVON, TEXAS RESOLUTION NO. 2020-03-01

Subtotal $10,185.00
Total Due $10,185.00

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
June 17, 2020 @ 2:22 pm

Invoice updated by Karen Smith.

Status Update
June 17, 2020 @ 2:22 pm

Status changed: Draft to Pending.

Updated
June 17, 2020 @ 2:22 pm

Invoice updated by Karen Smith.

Status Update
June 17, 2020 @ 2:22 pm

Status changed: Draft to Pending.

Updated
June 17, 2020 @ 2:28 pm

Invoice updated by Karen Smith.

Updated
June 17, 2020 @ 2:31 pm

Invoice updated by Karen Smith.