Bill To:


Paul Smitty
31842 N Hwy 5
Lebanon, MO 65536

Services Rendered To:


Paul Smitty
31842 N Hwy 5
Lebanon, MO 65536


*** Please Submit this to your PROPERTY/HOMEOWNER 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. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  2. Additional Incident Info

    Incident Type: Uncontrolled Burn

    Incident Location: 31842 N Hwy 5 Lebanon, MO 65536

Subtotal $150.00
Total Due $150.00


Updated
March 27, 2023 @ 3:53 pm

Invoice updated by Geoffrey.

Status Update
March 27, 2023 @ 3:53 pm

Status changed: Draft to Pending.