Bill To:


Farmers Insurance
PO Box 268993
Oklahoma City, OK 73126

Services Rendered To:


Andrew Miller
Policy # 46231500


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

    $350.00
    10.5
    $3,675.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    10.5
    $1,575.00
  3. 104 Tanker Response (Per Hour)

    $300.00
    10.5
    $3,150.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 319 Generator (Per Generator/Per Hour)

    $50.00
    9
    $450.00
  6. 328 GlassMaster (# Used)

    $25.00
    1
    $25.00
  7. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00
  8. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  9. 206 Latex Gloves (Pairs Used)

    $2.00
    16
    $32.00
  10. 301 Hand Tool (# Used)

    $15.00
    6
    $90.00
  11. 201 Oil Absorbent Material (# Used)

    $35.00
    3
    $105.00
  12. 211 Salvage Cover (Amt Used)   

    $35.00
    3
    $105.00
  13. 404 Scene Lighting (Per Hour)

     

    $75.00
    9
    $675.00
  14. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    10
    $1,000.00
  15. 327 Windshield Kit (# Used)

    $25.00
    1
    $25.00
  16. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00
  17. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00
  18. 405 Medical Extrication – Lvl 1

    6 people were Extricated from the accident, the crash resulted in 4 fatalities.

    $500.00
    6
    $3,000.00

  19. Additional Incident Info

    Incident Type: MVA w/Entrapment Response

    Incident Location: Highway 78 and Business 78 - Lavon, Texas

    Ordinance Info: CITY OF LAVON TEXAS RESOLUTION NO. 2020-03-01

Subtotal $14,732.00
Total Due $14,732.00
Updated
March 30, 2020 @ 1:01 pm

Invoice updated by Karen Smith.

Status Update
March 30, 2020 @ 1:01 pm

Status changed: Draft to Pending.

Updated
March 30, 2020 @ 1:04 pm

Invoice updated by Karen Smith.

Updated
March 30, 2020 @ 1:05 pm

Invoice updated by Karen Smith.

Updated
March 30, 2020 @ 1:05 pm

Invoice updated by Karen Smith.

Updated
March 30, 2020 @ 1:07 pm

Invoice updated by Karen Smith.

Updated
March 30, 2020 @ 1:08 pm

Invoice updated by Karen Smith.

Updated
March 30, 2020 @ 1:09 pm

Invoice updated by Karen Smith.

Updated
April 16, 2020 @ 3:25 pm

Invoice updated by Karen Smith.