Bill To:

Travelers Insurance
P.O. Box 650293
Dallas, TX 75265-0293

Services Rendered To:

Greg Brackin
363 CR 147
Calera, AL 35040
POLICY# HS10004606


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $500.00
    1.75
    $875.00

  2. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    3
    $150.00

  3. 304 SCBA Cylinder (# Used)

    $25.00
    3
    $75.00

  4. 306 Hose Per 50′ (Amt Used)

    $25.00
    4
    $100.00

    5. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 1995 CR 91- Jemison, AL

Subtotal $1,200.00
Total Due $1,200.00


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
October 30, 2023 @ 3:38 pm

Invoice updated by Geoffrey.

Status Update
October 30, 2023 @ 3:38 pm

Status changed: Draft to Pending.