Bill To:

GERMANIA INSURANCE COMPANY
507 Hwy. 290 E
Brenham, TX 77833

Services Rendered To:

Robert Coulter
503 FM 2554
Ivanhoe, Texas 75447
Policy # Unavailable at Scene


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    3.25
    $1,137.50

  2. 104 Tanker Response (Per Hour)

    $300.00
    3.25
    $975.00

  3. 103 Rescue Response (Per Hour)

    $300.00
    3.25
    $975.00

  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    3.25
    $487.50

  5. 309 Power Tool (# Used)

    $50.00
    3
    $150.00

  6. 319 Generator (Per Generator/Per Hour)

    $50.00
    3.25
    $162.50

  7. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    2
    $200.00

  8. 318 Ladder (# Used)

    $35.00
    2
    $70.00

  9. 301 Hand Tool (# Used)

    $15.00
    5
    $75.00

  10. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00

  11. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    5
    $250.00

  12. 304 SCBA Cylinder (# Used)

    $25.00
    5
    $125.00

  13. 404 Scene Lighting (Per Hour)

    $75.00
    3.25
    $243.75

  14. 306 Hose Per 50′ (Amt Used)

    $25.00
    15
    $375.00

    15. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 503 FM 2554 Ivanhoe, Texas 75447

Subtotal $5,276.25
Total Due $5,276.25

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
November 19, 2020 @ 6:44 pm

Invoice updated by Geoffrey.

Status Update
November 19, 2020 @ 6:44 pm

Status changed: Draft to Pending.