Bill To:


Mason Rodgers
19130 Catfish Drive
Newalla, OK 74857

Services Rendered To:


Mason Rodgers
19130 Catfish Drive
Newalla, OK 74857

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-55-024-22-062 03/16/2022 03/30/2022 On Receipt Newalla Fire Department

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Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    Medical Call Response

    $150.00
    1
    $150.00
  2. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  3. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 19130 Catfish Drive Newalla, OK 74857

Subtotal $400.00
Total Due $400.00


Updated
March 30, 2022 @ 3:19 pm

Invoice updated by Geoffrey.

Status Update
March 30, 2022 @ 3:19 pm

Status changed: Draft to Pending.

Viewed
November 11, 2023 @ 1:34 am

Invoice viewed by 67.71.89.8 for the first time.

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March 29, 2024 @ 8:22 pm

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