Bill To:


Brandi Stovall
1219 Locust Street
Malvern, AR 72104

Services Rendered To:


Brandi Stovall
1219 Locust Street
Malvern, Arkansas 72104


*** Please Submit this to your AUTO 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. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1
    $500.00
  3. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00
  4. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I-40 Eastbound @ MM 247 - Henryetta, Oklahoma

Subtotal $1,275.00
Total Due $1,275.00


Updated
July 12, 2021 @ 4:15 pm

Invoice updated by Geoffrey.

Status Update
July 12, 2021 @ 4:15 pm

Status changed: Draft to Pending.

Updated
August 25, 2021 @ 4:14 pm

Invoice updated by Geoffrey.

Viewed
August 25, 2021 @ 4:15 pm

Invoice viewed by 140.197.248.70 for the first time.

Updated
February 17, 2022 @ 6:41 pm

Invoice updated by Geoffrey.

Updated
February 17, 2022 @ 6:41 pm

Invoice updated by Geoffrey.

Updated
March 29, 2022 @ 7:13 pm

Invoice updated by Geoffrey.

Updated
March 29, 2022 @ 7:16 pm

Invoice updated by Geoffrey.

Viewed
October 25, 2022 @ 1:09 am

Invoice viewed by 64.124.8.51 for the first time.