Bill To:


Robert Karther
14055 NW 64th Ter
Kansas City, MO 64152

Services Rendered To:


Robert Karther
14055 NW 64th Ter
Kansas City, MO 64152
Policy # 5305124801


*** 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. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1.75
    $875.00
  2. 102 Engine Response (Per Hour)

    $500.00
    1.75
    $875.00
  3. 218 Cervical Collar (# Used)

    $25.00
    2
    $50.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    5
    $10.00
  6. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  7. 216 Oxygen (# Used)

    $25.00
    2
    $50.00
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00
  9. 215 Trauma Kit (# Used)

    $25.00
    2
    $50.00
  10. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00
  11. 408 Air Medical Landing Zone (Used)

    $250.00
    1
    $250.00

  12. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway NN - Eldridge, MO

Subtotal $2,885.00
Total Due $2,885.00


Updated
July 13, 2021 @ 6:36 pm

Invoice updated by Geoffrey.

Status Update
July 13, 2021 @ 6:36 pm

Status changed: Draft to Pending.

Updated
July 13, 2021 @ 6:38 pm

Invoice updated by Geoffrey.

Updated
June 6, 2022 @ 4:18 pm

Invoice updated by Geoffrey.

Updated
September 11, 2022 @ 5:13 pm

Invoice updated by Geoffrey.

Updated
September 11, 2022 @ 5:14 pm

Invoice updated by Geoffrey.

Updated
September 11, 2022 @ 5:16 pm

Invoice updated by Geoffrey.

Updated
September 11, 2022 @ 5:18 pm

Invoice updated by Geoffrey.

Viewed
October 25, 2022 @ 6:53 am

Invoice viewed by 64.124.8.25 for the first time.