Bill To:


USAA CASUALTY INSURANCE
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:


Laurie Hall
5343 N.E. Elk Point Road
Elgin, OK 73538
Policy # 0345583927110


Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $500.00
    1.75
    $875.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $500.00
    1.75
    $875.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    5
    $10.00
  6. 201 Oil Absorbent Material (# Used)

    $35.00
    9
    $315.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  8. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Stoney Point & Tackle Box Road - Lawton, OK

Subtotal $2,775.00
Total Due $2,775.00


Updated
February 22, 2022 @ 3:11 pm

Invoice updated by Geoffrey.

Status Update
February 22, 2022 @ 3:11 pm

Status changed: Draft to Pending.

Viewed
May 15, 2022 @ 2:27 pm

Invoice viewed by Karen Smith (KarenS) for the first time.