Bill To:


Equity Insurance Company
616 S. Boston Avenue #500
Tulsa, OK 74119

Services Rendered To:


Olivia Stone
6083 CR 89N
Camp Hill, AL 36850
POLICY# EAA0111163


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 4937 CR 89N- Camp Hill, AL

Subtotal $765.00
Total Due $765.00


Updated
June 13, 2023 @ 11:02 am

Invoice updated by Geoffrey.

Status Update
June 13, 2023 @ 11:02 am

Status changed: Draft to Pending.