Bill To:


USAA CASUALTY INSURANCE
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78240-4100

Services Rendered To:


Brandi Arter
402 SE Sungate Blvd.
Lawton, OK 73501
Policy # 0220322077104


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

    $350.00
    2
    $700.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Interstate 40 @ MM 252 Eastbound - Checotah, OK

Subtotal $1,477.00
Total Due $1,477.00


Updated
December 28, 2021 @ 7:52 pm

Invoice updated by Geoffrey.

Status Update
December 28, 2021 @ 7:52 pm

Status changed: Draft to Pending.