Bill To:

Farmers Insurance
PO Box 268993
Oklahoma City, OK 73126

Services Rendered To:

Jeffrey DwayneFarrow
P.O. Box 374
Weleetka, OK 74880
Policy # 512748583


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  4. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00

    5. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: East I-40 @ MM 247 - Henryetta, OK

    Ordinance Info: Tiger Mountain - McIntosh County Resolution 72021

Subtotal $690.00
Total Due $690.00


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
August 4, 2021 @ 12:41 pm

Invoice updated by Geoffrey.

Status Update
August 4, 2021 @ 12:41 pm

Status changed: Draft to Pending.