Bill To:


Farmers Mutual Fire Insurance OK
217 W Oklahoma Ave
Okarche, OK 73762

Services Rendered To:


Billie Bell
4900 Lake Dr
Newalla, OK 74857
POLICY# S20020845


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

    $150.00
    2
    $300.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  4. 301 Hand Tool (# Used)

    $15.00
    8
    $120.00
  5. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  6. Additional Incident Info

    Incident Type: Uncontrolled Burn

    Incident Location: 4900 Lake Dr Newalla, OK 74857

Subtotal $1,095.00
Total Due $1,095.00


Updated
December 17, 2022 @ 1:23 pm

Invoice updated by Geoffrey.

Status Update
December 17, 2022 @ 1:23 pm

Status changed: Draft to Pending.

Updated
January 3, 2023 @ 3:58 pm

Invoice updated by Geoffrey.