Bill To:


Dawa Bomjon
3373 Rodeo Ct
Cincinnati, OH 45211

Services Rendered To:


Dawa Bomjon
3373 Rodeo Ct
Cincinnati, OH 45211

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-41-013-23-61 02/22/2023 11/27/2023 On Receipt Wellston FD

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

    $500.00
    1
    $500.00
  2. 104 Tanker Response (Per Hour)

    $400.00
    1
    $400.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  4. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    100
    $25.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  6. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  7. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  8. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  9. 304 SCBA Cylinder (# Used)

    $25.00
    4
    $100.00
  10. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  11. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  12. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00
  13. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  14. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: Turner Turnpike MM155 - Wellston, OK

Subtotal $2,095.00
Total Due $2,095.00


Updated
November 27, 2023 @ 9:23 pm

Invoice updated by Geoffrey.

Status Update
November 27, 2023 @ 9:23 pm

Status changed: Draft to Pending.