Bill To:

Hanover Insurance Group
440 Lincoln Street
Worcester, MA 01653

Services Rendered To:

Ivan Soto
15107 BJ Ducek Road
Wallis, TX 77485
Policy # Z2D H891161 00


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    5.75
    $2,012.50

  2. 104 Tanker Response (Per Hour)

    $300.00
    5.75
    $1,725.00

  3. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    5.75
    $575.00

  5. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00

  6. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00

  7. 318 Ladder (# Used)

    $35.00
    1
    $35.00

  8. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00

  9. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00

  10. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    3
    $150.00

  11. 304 SCBA Cylinder (# Used)

    $25.00
    6
    $150.00

  12. 404 Scene Lighting (Per Hour)

    $75.00
    5.75
    $431.25

  13. 306 Hose Per 50′ (Amt Used)

    $25.00
    7
    $175.00

    14. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 15107 BJ Ducek Road Wallis, TX 77485

Subtotal $5,578.75
Total Due $5,578.75


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
April 12, 2022 @ 7:17 pm

Invoice updated by Geoffrey.

Status Update
April 12, 2022 @ 7:17 pm

Status changed: Draft to Pending.

Updated
April 12, 2022 @ 7:17 pm

Invoice updated by Geoffrey.