Bill To:

Vicky Burch
3048 SW 57th St
Oklahoma City, OK 73119

Services Rendered To:

Vicky Burch
3048 SW 57th St
OKC, OK 73119
POLICY# 6052-63-89-93


*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1.5
    $750.00

  2. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1.5
    $750.00

  3. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1.5
    $750.00

  4. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    1
    $50.00

  5. 304 SCBA Cylinder (# Used)

    $25.00
    1
    $25.00

  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  7. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I-40 MM 253 WB- Checotah, OK

    Ordinance Info: F.A.I.C Resolution

Subtotal $2,725.00
Total Due $2,725.00


Please be advised that the above-captioned account has been assigned to this office for collection

The balance due and owing to F.A.I.C FD is $2,725.00 as of 12/10/2023

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.

Unless you notify this office within 30 days after receiving this notice that you dispute the validity of this debt or any portion thereof, this office wil assume the debt is valid. If you notify this office in writing within 30 days from receiving this notice that this debt or any portion thereof is disputed, this office will mail you a copy of the judgement obtained or verification of the debt. If you request this office in writing within 30 days after receiving this notice, this office will provide you with the name and address of the original creditor,if different from the current creditor.

THIS COMMUNICATION IS FROM A DEBT COLLOCTOR IN AN ATTEMPT TO COLLECT A DEBT. ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE


Updated
May 11, 2023 @ 3:48 pm

Invoice updated by Geoffrey.

Status Update
May 11, 2023 @ 3:48 pm

Status changed: Draft to Pending.

Updated
August 2, 2023 @ 3:32 pm

Invoice updated by Geoffrey.