Bill To:


SHELTER INSURANCE
1817 WEST BROADWAY
COLUMBIA, MO 65203-1107

Services Rendered To:


Shawn Curtis Wray Jr.
Route 3 Box 364C
Henryetta, OK 74437
Policy # 3514886853


Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.75
    $437.50
  2. 102 Engine Response (Per Hour)

    $500.00
    1.75
    $875.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.75
    $437.50
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 266 and Junction 72 - Council Hill, OK

Subtotal $1,925.00
Total Due $1,925.00


Updated
June 30, 2021 @ 4:04 pm

Invoice updated by Geoffrey.

Status Update
June 30, 2021 @ 4:04 pm

Status changed: Draft to Pending.

Updated
June 30, 2021 @ 4:13 pm

Invoice updated by Geoffrey.