Bill To:

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

Services Rendered To:

7711 Vierick Rd
San Felipe, TX
Claim# 23-6471014


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $400.00
    1.75
    $700.00

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

    $200.00
    1.75
    $350.00

  3. 102 Engine Response (Per Hour)

    $500.00
    1.75
    $875.00

  4. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.75
    $437.50

  5. 104 Tanker Response (Per Hour)

    $400.00
    1.75
    $700.00

  6. 104 Tanker Response (Per Hour)

    $400.00
    1.75
    $700.00

  7. 104 Tanker Response (Per Hour)

    $400.00
    1.75
    $700.00

  8. 309 Power Tool (# Used)

    $50.00
    2
    $100.00

  9. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00

  10. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00

  11. 304 SCBA Cylinder (# Used)

    $25.00
    8
    $200.00

  12. 306 Hose Per 50′ (Amt Used)

    $25.00
    8
    $200.00

    13. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 7711 Vierick Rd San Felipe, TX

Subtotal $5,262.50
Total Due $5,262.50


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 1, 2023 @ 11:22 am

Invoice updated by Geoffrey.

Status Update
September 1, 2023 @ 11:22 am

Status changed: Draft to Pending.