Bill To:

James & Rachel Cox
10949 W 143rd St S
Boynton, OK 74422

Services Rendered To:

James & Rachel Cox
10949 W 143rd St S
Boynton, OK 74422


*** 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. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00

  2. 103 Rescue Response (Per Hour)

    $500.00
    1
    $500.00

  3. 104 Tanker Response (Per Hour)

    $500.00
    1
    $500.00

  4. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    100
    $25.00

  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  6. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00

  7. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00

  8. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

    9. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 10949 W 143rd St S Boynton, OK 74422

    Ordinance Info: Tiger Mountain - McIntosh County Resolution 72021

Subtotal $1,955.00
Total Due $1,955.00


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
June 2, 2023 @ 2:32 pm

Invoice updated by Geoffrey.

Status Update
June 2, 2023 @ 2:32 pm

Status changed: Draft to Pending.