Bill To:

OKLAHOMA FARM BUREAU MUTUAL INSURANCE COMPANY
2501 N Stiles Ave,
Oklahoma City, OK 73105

Services Rendered To:

Policy# FRM00135563-04
Owner: Edgar McCracken
456 NW McCracken Rd.
Lawton, OK 73538


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $500.00
    5.25
    $2,625.00

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

    $150.00
    5.25
    $787.50

  3. 102 Engine Response (Per Hour)

    $500.00
    5.25
    $2,625.00

  4. 104 Tanker Response (Per Hour)

    $500.00
    5.25
    $2,625.00

  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  6. 205 Foam (Per Gallon)

    $65.00
    10
    $650.00

  7. 306 Gas/Co Detector (# Used)

    $50.00
    2
    $100.00

  8. 319 Generator ( 3 Generators/Per 5.25 Hours)

    $150.00
    5.25
    $787.50

  9. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    3
    $300.00

  10. 318 Ladder (# Used)

    $35.00
    2
    $70.00

  11. 301 Hand Tool (# Used)

    $15.00
    5
    $75.00

  12. 309 Power Tool (# Used)

    $50.00
    5
    $250.00

  13. 311 PPV / Ventilation Fan (# Used)

    $50.00
    2
    $100.00

  14. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    6
    $300.00

  15. 304 SCBA Cylinder (# Used)

    $25.00
    12
    $300.00

  16. 404 Scene Lighting (Per Hour)

    $75.00
    5.25
    $393.75

  17. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    5.25
    $525.00

  18. 207 Wetting Agent (Amt Used)

    $25.00
    1
    $25.00

  19. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00

    20. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 456 NW McCracken Rd. Lawton, OK 73538

Subtotal $12,938.75
Total Due $12,938.75


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
September 21, 2021 @ 10:37 pm

Invoice updated by Karen Smith.

Status Update
September 21, 2021 @ 10:37 pm

Status changed: Draft to Pending.