Bill To:


David Cook
2323 S. Brandi Drive
Fayetteville, AR 72701

Services Rendered To:


David William Ford Cook
116 Vine Street
Armington, AR 72730
Ph# 479-670-6857
Policy # N03705742


*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00
  2. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I-40 Eastbound .5 Miles West of Lotawattah - Checotah, OK

    Ordinance Info: Paradise Point Recovery Resolution

Subtotal $1,000.00
Total Due $1,000.00


Updated
May 17, 2021 @ 4:20 pm

Invoice updated by Geoffrey.

Status Update
May 17, 2021 @ 4:20 pm

Status changed: Draft to Pending.

Updated
May 17, 2021 @ 4:24 pm

Invoice updated by Geoffrey.

Updated
May 26, 2021 @ 4:41 pm

Invoice updated by Geoffrey.

Updated
May 26, 2021 @ 4:42 pm

Invoice updated by Geoffrey.

Updated
May 26, 2021 @ 4:45 pm

Invoice updated by Geoffrey.

Updated
August 1, 2021 @ 6:25 pm

Invoice updated by Geoffrey.