Bill To:


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

Services Rendered To:


Wokaty Sarah
10088 N. C/R 4295
Quinton, OK 74531
Policy # N35221701


Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $500.00
    3
    $1,500.00
  2. 103 Rescue Response (Per Hour)

    $500.00
    3
    $1,500.00
  3. 102 Engine Response (Per Hour)

    $500.00
    3
    $1,500.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    3
    $300.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I-40 MM 259 Just West of Checotah, OK

Subtotal $4,800.00
Total Due $4,800.00
Updated
December 26, 2020 @ 7:20 pm

Invoice updated by Geoffrey.