Bill To:


Farmers Insurance
PO Box 268993
Oklahoma City, OK 73126

Services Rendered To:


Talia Wesco
922 SW 35th Street
Lawton, OK 73505
POLICY # 513072952


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  2. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50
  3. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00
  6. 201 Oil Absorbent Material (# Used)

    $35.00
    2
    $70.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  8. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00
  9. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Highway 7 & State Highway 65 - Lawton, OK

Subtotal $1,740.00
Total Due $1,740.00


Updated
July 20, 2022 @ 5:35 pm

Invoice updated by Geoffrey.

Status Update
July 20, 2022 @ 5:35 pm

Status changed: Draft to Pending.

Updated
July 20, 2022 @ 5:36 pm

Invoice updated by Geoffrey.

Viewed
October 22, 2022 @ 8:03 pm

Invoice viewed by 64.124.8.32 for the first time.