Bill To:


Samuell Smith
324 S. Duncan Quail Valley Dr
Meeker, OK 74074

Services Rendered To:


Samuell Smith
324 S. Duncan St Apt 2
Stillwater, OK 74074

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-41-016-23-110 07/21/2023 08/01/2023 On Receipt Jacktown Fire Protection District

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

    $500.00
    5.75
    $2,875.00
  2. 104 Tanker Response (Per Hour)

    $400.00
    5.75
    $2,300.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    5.75
    $1,437.50
  4. 309 Power Tool (# Used)

    $50.00
    3
    $150.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    5.75
    $575.00
  6. 306 Gas/Co Detector (# Used)

    $50.00
    1
    $50.00
  7. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  8. 318 Ladder (# Used)

    $35.00
    1
    $35.00
  9. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  10. 311 PPV / Ventilation Fan (# Used)

    $50.00
    1
    $50.00
  11. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  12. 304 SCBA Cylinder (# Used)

    $25.00
    6
    $150.00
  13. 404 Scene Lighting (Per Hour)

    $75.00
    5.75
    $431.25
  14. 306 Hose Per 50′ (Amt Used)

    $25.00
    9
    $225.00

  15. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 106108 S Quail Valley Dr- Meeker, OK

    Ordinance Info: Jacktown Cost Recovery Resolution

Subtotal $8,608.75
Total Due $8,608.75


Updated
August 1, 2023 @ 10:41 am

Invoice updated by Geoffrey.

Status Update
August 1, 2023 @ 10:41 am

Status changed: Draft to Pending.