Bill To:


Vehicle Owner
Route 3 Box 364C
Henryetta, OK 74437

Services Rendered To:


Vehicle Owner
Route 3 Box 364C
Henryetta, OK 74437
POLICY# 3514886853

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-49-016-21-53 06/28/2021 01/02/2023 On Receipt Paradise Point FD

*** 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)

    $350.00
    1.75
    $612.50
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.75
    $262.50
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.75
    $262.50

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 266 Hwy 72 Junction Half Mile West- Council Hill, OK

    Ordinance Info: Paradise Point Cost Recovery Resolution 1621

Subtotal $1,137.50
Total Due $1,137.50


Updated
January 2, 2023 @ 4:03 pm

Invoice updated by Geoffrey.

Status Update
January 2, 2023 @ 4:03 pm

Status changed: Draft to Pending.

Viewed
January 3, 2023 @ 12:44 pm

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

Updated
January 3, 2023 @ 12:44 pm

Invoice updated by Karen Smith.

Viewed
January 3, 2023 @ 12:44 pm

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

Updated
January 3, 2023 @ 12:45 pm

Invoice updated by Karen Smith.

Updated
January 3, 2023 @ 12:45 pm

Invoice updated by Karen Smith.

Viewed
January 3, 2023 @ 12:46 pm

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

Updated
January 3, 2023 @ 12:46 pm

Invoice updated by Karen Smith.

Updated
March 3, 2023 @ 11:02 am

Invoice updated by Geoffrey.

Updated
March 3, 2023 @ 11:03 am

Invoice updated by Geoffrey.