Bill To:

EAN Holdings
14002 E. 21st Street, Suite 1500
Tulsa, OK 74134

Services Rendered To:

Shawna Barfield
402 NE Benbrook Rd
Apache, OK 73006
POLICY# 1499091


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  4. 218 Cervical Collar (# Used)

    $25.00
    2
    $50.00

  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  6. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00

  7. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00

  8. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  9. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75

  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

    11. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 62 & Mcintosh Rd- Elgin, OK

Subtotal $1,427.25
Total Due $1,427.25


Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.
Updated
November 26, 2022 @ 1:28 pm

Invoice updated by Geoffrey.

Status Update
November 26, 2022 @ 1:28 pm

Status changed: Draft to Pending.