Bill To:


Janice Block
19620 Southeast 38th Street
Harrah, OK 74857

Services Rendered To:


Janice Block
19620 Southeast 38th Street
Harrah, OK 74857

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-55-024-22-014 01/30/2022 04/06/2022 On Receipt Newalla Fire Department

*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount
  1. 410 Fire Department Response Fee – Lvl 1

    $200.00
    1
    $200.00

  2. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 19620 Southeast 38th Street Newalla, OK 74857

Subtotal $200.00
Total Due $200.00


Updated
April 6, 2022 @ 7:36 pm

Invoice updated by Geoffrey.

Status Update
April 6, 2022 @ 7:36 pm

Status changed: Draft to Pending.

Updated
June 11, 2022 @ 2:09 pm

Invoice updated by Karen Smith.

Viewed
June 11, 2022 @ 2:09 pm

Invoice viewed by Karen Smith (KarenS) for the first time.

Updated
June 11, 2022 @ 2:10 pm

Invoice updated by Karen Smith.