Bill To:

Property Owner
403488 E. 1090 Road
Henryetta, OK 74437

Services Rendered To:

Property Owner
403488 E. 1090 Road
Henryetta, OK 74437


*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1
    $500.00

  2. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1
    $500.00

  3. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  4. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    5. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 403488 E. 1090 Road Henryetta, OK 74437

Subtotal $1,275.00
Total Due $1,275.00


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
July 12, 2021 @ 3:52 pm

Invoice updated by Geoffrey.

Status Update
July 12, 2021 @ 3:52 pm

Status changed: Draft to Pending.