Bill To:


Sam Hermani
11901 N. MacArthur Blvd., Ste B
Oklahoma City, OK 73162

Services Rendered To:


Sam Hermani
11901 N. Macarthur Blvd., Ste B
Oklahoma City, OK 73162


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

Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    4.25
    $637.50
  2. 104 Tanker Response (Per Hour)

    $300.00
    4.25
    $1,275.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    4.25
    $637.50
  4. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    4.25
    $637.50
  5. 103 Rescue Response (Per Hour)

    $300.00
    4.25
    $1,275.00
  6. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  7. 301 Hand Tool (# Used)

    $15.00
    8
    $120.00
  8. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  9. 304 SCBA Cylinder (# Used)

    $25.00
    4
    $100.00
  10. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00

  11. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 21205 S.E. 59 Newalla, OK 74857

Subtotal $5,082.50
Total Due $5,082.50


Updated
April 22, 2022 @ 7:09 pm

Invoice updated by Geoffrey.

Status Update
April 22, 2022 @ 7:09 pm

Status changed: Draft to Pending.

Updated
April 22, 2022 @ 7:10 pm

Invoice updated by Geoffrey.

Updated
August 31, 2022 @ 6:18 pm

Invoice updated by Geoffrey.

Updated
August 31, 2022 @ 6:18 pm

Invoice updated by Geoffrey.

Updated
September 12, 2022 @ 6:48 pm

Invoice updated by Geoffrey.