Bill To:

FARM BUREAU INSURANCE
5400 UNIVERSITY AVENUE
WEST DES MOINES, IA 50266-5997

Services Rendered To:

Danny Stone
103613 South 4130
Council Hill, OK 74428


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    U-1751

    $150.00
    1.25
    $187.50

  2. 105 Utility Vehicle Response (Per Hour)

    U-1753

    $150.00
    1.25
    $187.50

  3. 105 Utility Vehicle Response (Per Hour)

    U-1757

    $150.00
    1.25
    $187.50

  4. 306 Hose Per 50′ (Amt Used)

    $25.00
    4
    $100.00

    5. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 103613 South 4130 Council Hill, OK 74428

    Ordinance Info: Paradise Point Cost Recovery Resolution NO. 1621

Subtotal $662.50
Total Due $662.50


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 8, 2021 @ 3:58 pm

Invoice updated by Geoffrey.

Status Update
November 8, 2021 @ 3:58 pm

Status changed: Draft to Pending.