Bill To:


Jesse Toney
4846 S 481st W Ave
Jennings, OK 74038

Services Rendered To:


Jesse Toney
4846 S. 481st W. Avenue
Jennings, OK 74038
Policy # N35304837


*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

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

    $350.00
    2
    $700.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  3. 418 Environmental Hazard Cleanup/Removal

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

    $2.00
    1
    $2.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 48 & Cimarron Turnpike On Ramp, Cleveland, OK

Subtotal $1,452.00
Total Due $1,452.00


Updated
July 10, 2022 @ 2:47 pm

Invoice updated by Geoffrey.

Updated
July 10, 2022 @ 2:47 pm

Invoice updated by Geoffrey.

Status Update
July 10, 2022 @ 2:47 pm

Status changed: Draft to Pending.

Status Update
July 10, 2022 @ 2:47 pm

Status changed: Draft to Pending.

Updated
July 10, 2022 @ 2:51 pm

Invoice updated by Geoffrey.

Updated
September 9, 2022 @ 10:49 am

Invoice updated by Geoffrey.

Updated
September 9, 2022 @ 10:51 am

Invoice updated by Geoffrey.