Bill To:


Equity Insurance Company
616 S. Boston Avenue #500
Tulsa, OK 74119

Services Rendered To:


Wesly Palmer
220 East Lake Dr
Medicine Park, OK 73507
POLICY# N35321614


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00
  5. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  6. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  7. 207 Wetting Agent (Amt Used)

    $25.00
    1
    $25.00
  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  9. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 2 Blue Beaver Rd- Lawton, OK

Subtotal $715.00
Total Due $715.00


Updated
February 15, 2023 @ 10:54 am

Invoice updated by Geoffrey.

Status Update
February 15, 2023 @ 10:54 am

Status changed: Draft to Pending.

Updated
March 28, 2023 @ 4:11 pm

Invoice updated by Geoffrey.

Viewed
March 20, 2024 @ 6:15 pm

Invoice viewed by 66.249.72.5 for the first time.