Bill To:


SHELTER INSURANCE
1817 WEST BROADWAY
COLUMBIA, MO 65203-1107

Services Rendered To:


Joel Moores
1525 NW 40th St
Oklahoma City, OK 73118
POLICY# 35-1-010492460-0003


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

    $500.00
    1
    $500.00
  2. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  4. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  5. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Turner Turnpike MM 157- Wellston, OK

Subtotal $981.00
Total Due $981.00


Updated
February 8, 2024 @ 10:31 am

Invoice updated by Geoffrey.

Status Update
February 8, 2024 @ 10:31 am

Status changed: Draft to Pending.