Bill To:


EAN Holdings
14002 E. 21st Street, Suite 1500
Tulsa, OK 74134

Services Rendered To:


Shawna Barfield
402 NE Benbrook Rd
Apache, OK 73006
POLICY# 1499091


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

    $350.00
    1.25
    $437.50
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  4. 218 Cervical Collar (# Used)

    $25.00
    2
    $50.00
  5. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  7. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  8. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  9. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75
  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  11. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  12. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 62 & Mcintosh Rd- Elgin, OK

Subtotal $1,677.25
Total Due $1,677.25


Updated
January 2, 2023 @ 11:47 am

Invoice updated by Geoffrey.

Status Update
January 2, 2023 @ 11:47 am

Status changed: Draft to Pending.