Bill To:


Sandra Rice
P.O. Box 733
Atoka, OK 74525

Services Rendered To:


Sandra Rice
P.O. Box 733
Atoka, OK 74525
Policy # Not Given


*** Please Submit this to your AUTO 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. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  5. 323 Portable Radio (# Used)

    $10.00
    4
    $40.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 12227 East Highway 82 - Gainesville, Texas

Subtotal $652.00
Total Due $652.00


Updated
April 30, 2021 @ 12:32 pm

Invoice updated by Geoffrey.

Status Update
April 30, 2021 @ 12:32 pm

Status changed: Draft to Pending.