Bill To:


STATE AUTO INSURANCE
518 EAST BROAD STREET
COLUMBUS, OH 43215-3976

Services Rendered To:


Richard Richards
23 N Boylen
Kellyville, OK 74039
POLICY# 10173598FR


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

    $500.00
    1.5
    $750.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.5
    $375.00
  3. 104 Tanker Response (Per Hour)

    $400.00
    1.5
    $600.00
  4. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  5. 306 Hose Per 50′ (Amt Used)

    $25.00
    5
    $125.00

  6. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: I40 WB- Henryetta, OK

    Ordinance Info: Tiger Mountain - McIntosh County Resolution 72021

Subtotal $1,895.00
Total Due $1,895.00


Updated
August 28, 2023 @ 11:30 am

Invoice updated by Geoffrey.

Status Update
August 28, 2023 @ 11:30 am

Status changed: Draft to Pending.