Bill To:

American Modern Insurance Group
PO Box 5323
Cincinnati, OH 45201-5323

Services Rendered To:

VAQUERO HOMES LLC
1311 N. Whatley Rd. Lot 70
White Oak, TX 75693
POLICY# 081CD88426001


Product
Price
Qty
Amount

  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    4.5
    $675.00

  2. 102 Engine Response (Per Hour)

    $350.00
    4.5
    $1,575.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    4.5
    $675.00

  4. 104 Tanker Response (Per Hour)

    $300.00
    4.5
    $1,350.00

  5. 309 Power Tool (# Used)

    $50.00
    2
    $100.00

  6. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    200
    $50.00

  7. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00

  8. 318 Ladder (# Used)

    $35.00
    1
    $35.00

  9. 301 Hand Tool (# Used)

    $15.00
    5
    $75.00

  10. 211 Salvage Cover (Amt Used)           

    $35.00
    1
    $35.00

  11. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00

  12. 304 SCBA Cylinder (# Used)

    $25.00
    22
    $550.00

  13. 306 Hose Per 50′ (Amt Used)

    $25.00
    22
    $550.00

    14. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 1311 N Whatley Rd Lot 70 - White Oak, TX

    Ordinance Info: City of White Oak Ordinance 2021-02

Subtotal $5,970.00
Total Due $5,970.00


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
December 23, 2022 @ 2:54 pm

Invoice updated by Geoffrey.

Status Update
December 23, 2022 @ 2:54 pm

Status changed: Draft to Pending.