Bill To:

FOREMOST INSURANCE
PO BOX 2450
GRAND RAPIDS, MI 49501-2450

Services Rendered To:

Policy# 440-0019512800-03
Dan Kramer
157 CR 160
Whitesboro, TX 76273


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    3.5
    $1,225.00

  2. 104 Tanker Response (Per Hour)

    $300.00
    3.5
    $1,050.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    3.5
    $525.00

  4. 301 Hand Tool (# Used)

    $15.00
    6
    $90.00

  5. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    3
    $150.00

  6. 304 SCBA Cylinder (# Used)

    $25.00
    3
    $75.00

  7. 404 Scene Lighting (Per Hour)

    $75.00
    3.5
    $262.50

  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00

    9. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 157 CR 160, Whitesboro, TX 76273

Subtotal $3,527.50
Total Due $3,527.50


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
September 21, 2021 @ 10:51 pm

Invoice updated by Karen Smith.

Status Update
September 21, 2021 @ 10:51 pm

Status changed: Draft to Pending.