Bill To:


GARY ALEXANDER
12205 S. Western Ave., Apt. 1521
Oklahoma City, OK 73170

Services Rendered To:


Gary Alexander
12205 S. Western Ave., Apt. 1521
Oklahoma City, OK 73170

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-55-024-22-119 05/22/2022 06/27/2022 On Receipt Newalla Fire Department

*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount
  1. 410 Fire Department Response Fee – Lvl 1

    $200.00
    1
    $200.00

  2. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 21616 Perry Lucas Lane Newalla, OK 74857

Subtotal $200.00
Total Due $200.00


Updated
June 27, 2022 @ 2:10 pm

Invoice updated by Geoffrey.

Status Update
June 27, 2022 @ 2:10 pm

Status changed: Draft to Pending.

Updated
June 27, 2022 @ 2:10 pm

Invoice updated by Geoffrey.

Updated
August 3, 2022 @ 6:06 pm

Invoice updated by Karen Smith.

Viewed
August 3, 2022 @ 6:06 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.

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October 24, 2022 @ 1:25 pm

Invoice viewed by 64.124.8.26 for the first time.

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July 23, 2024 @ 10:19 am

Invoice viewed by 173.252.83.35 for the first time.