Bill To:


PKM Farms LLC
505 S. Kimball Ave
Southlake, TX 76092

Services Rendered To:


PKM Farms LLC
505 S. Kimball Ave
Southlake, TX 76092

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-59-007-23-49 04/15/2023 05/15/2023 On Receipt North 48 Fire Department

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

    $150.00
    3.5
    $525.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    3.5
    $525.00
  3. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  4. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  5. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  6. Additional Incident Info

    Incident Type: Uncontrolled Burn

    Incident Location: Old Hwy 64 & S 3700 Rd- Cleveland, OK

Subtotal $1,240.00
Total Due $1,240.00


Updated
May 15, 2023 @ 12:55 pm

Invoice updated by Geoffrey.

Status Update
May 15, 2023 @ 12:55 pm

Status changed: Draft to Pending.

Updated
May 15, 2023 @ 12:55 pm

Invoice updated by Geoffrey.