Bill To:

American Modern Insurance Group
PO Box 5323
Cincinnati, OH 45201-5323

Services Rendered To:

Christin Fischer
486 County Rd 125
Whitesboro, TX 76273
Claim # 846157AA


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    2.75
    $962.50

  2. 104 Tanker Response (Per Hour)

    $300.00
    2.75
    $825.00

  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2.75
    $412.50

  4. 318 Ladder (# Used)

    $35.00
    1
    $35.00

  5. 309 Power Tool (# Used)

    $50.00
    1
    $50.00

  6. 320 Portable Pond (# Used)

    $150.00
    1
    $150.00

  7. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    6
    $300.00

  8. 304 SCBA Cylinder (# Used)

    $25.00
    6
    $150.00

  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    10
    $250.00

    10. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 486 County Rd 125 Whitesboro, TX 76273

Subtotal $3,135.00
Total Due $3,135.00


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
December 27, 2022 @ 5:21 pm

Invoice updated by Geoffrey.

Status Update
December 27, 2022 @ 5:21 pm

Status changed: Draft to Pending.