Bill To:


David Matchet
4738 West Avenue, L8
Lancaster, CA 93536

Services Rendered To:


David Matchet
4738 West Avenue, L8
Quartz Hill, CA 93536


*** 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. 103 Rescue Response (Per Hour)

    $500.00
    1.5
    $750.00
  2. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Interstate 40 @ MM 261 - Checotah, OK

Subtotal $904.00
Total Due $904.00


Updated
July 22, 2021 @ 9:41 pm

Invoice updated by Geoffrey.

Status Update
July 22, 2021 @ 9:41 pm

Status changed: Draft to Pending.

Updated
August 10, 2021 @ 6:11 pm

Invoice updated by Geoffrey.

Updated
January 16, 2022 @ 3:11 pm

Invoice updated by Geoffrey.

Updated
January 16, 2022 @ 3:12 pm

Invoice updated by Geoffrey.

Updated
June 12, 2022 @ 5:58 pm

Invoice updated by Karen Smith.