Bill To:


JONES TRUCK INSURANCE
10100 Saddle Creek Rd
Waco, TX 76708

Services Rendered To:


Policy# TR121L6100
Owner: Arbiter Logistics
300 Meandering Way
Glenn Heights, TX 75154

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-49-008-23-04 01/16/2023 01/17/2023 On Receipt Salem-Ryal Fire Dept.

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

    $350.00
    2.5
    $875.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    2.5
    $750.00
  3. 401 Debris Cleanup/Removal (# Used)

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

    $2.00
    8
    $16.00
  5. 301 Hand Tool (# Used)

    $15.00
    6
    $90.00
  6. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  7. 404 Scene Lighting (Per Hour)

    $75.00
    2.5
    $187.50
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.5
    $250.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Indian Nation Turnpike, MM97, Hanna, OK

    Ordinance Info: SALEM-RYAL FIRE DEPT. RESOLUTION NO. 72821

Subtotal $2,468.50
Total Due $2,468.50


Updated
January 17, 2023 @ 1:18 pm

Invoice updated by Karen Smith.

Status Update
January 17, 2023 @ 1:18 pm

Status changed: Draft to Pending.