Bill To:


Equity Insurance Company
616 S. Boston Avenue #500
Tulsa, OK 74119

Services Rendered To:


Owner: Rochelle
Driver: Jimmy Durrett
Policy # N35278162


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

    $150.00
    1
    $150.00
  2. 104 Tanker Response (Per Hour)

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

    $150.00
    1
    $150.00

  4. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 101208 South 4210 Road - Checotah, OK

    Ordinance Info: Paradise Point Cost Recovery Resolution 1621

Subtotal $600.00
Total Due $600.00


Updated
January 6, 2022 @ 5:45 pm

Invoice updated by Geoffrey.

Status Update
January 6, 2022 @ 5:45 pm

Status changed: Draft to Pending.