Bill To:


John Wickware
PO Box 102
Gene Autry, OK 73436

Services Rendered To:


John Wickware
PO Box 102
Gene Autry, OK 73436
POLICY# 190845677

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-73-148-23-1 01/01/2023 02/02/2023 On Receipt Gene Autry FD

Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 671 Tumbleweed Rd- Ardmore, OK

Subtotal $500.00
Total Due $500.00


Updated
February 2, 2023 @ 3:40 pm

Invoice updated by Geoffrey.

Status Update
February 2, 2023 @ 3:40 pm

Status changed: Draft to Pending.

Updated
February 9, 2023 @ 12:15 pm

Invoice updated by Geoffrey.

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