Bill To:

GREAT WEST CASUALTY
1100 WEST 29th STREET
SOUTH SOUIX CITY, NE 68776-3130

Services Rendered To:

Groendyke Transport
2510 Rock Island Blvd
Enid, OK 73701
Policy # GWP37571P


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    6.5
    $2,275.00

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

    $150.00
    6.5
    $975.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    6.5
    $975.00

  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  5. 205 Foam (Per Gallon)

    $65.00
    3
    $195.00

  6. 306 Gas/Co Detector (# Used)

    $50.00
    1
    $50.00

  7. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00

  8. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  9. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00

  10. 404 Scene Lighting (Per Hour)

    $75.00
    6.5
    $487.50

  11. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    6.5
    $650.00

  12. 306 Hose Per 50′ (Amt Used)

    $25.00
    5
    $125.00

  13. 323 Portable Radio (# Used)

    $10.00
    6
    $60.00

  14. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    15. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 412 Cimarron Turnpike @ MM 54 - Terlton, Oklahoma

Subtotal $6,627.50
Total Due $6,627.50


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
May 15, 2022 @ 2:56 pm

Invoice updated by Geoffrey.