Bill To:


Debra Johnson
Granddaughter Lane, Lot 23
Harrah, OK 73045

Services Rendered To:


Debra Johnson
Granddaughter Lane, Lot 23
Harrah, OK 73045

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-55-024-22-107 04/27/2022 05/13/2022 On Receipt Newalla Fire Department

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: Granddaughter Lane, Lot 23 Harrah, OK 73045

Subtotal $200.00
Total Due $200.00


Updated
May 13, 2022 @ 4:34 pm

Invoice updated by Geoffrey.

Status Update
May 13, 2022 @ 4:34 pm

Status changed: Draft to Pending.