Bill To:


Oklahoma Roofing & Sheet Metal
1708 Lowry Avenue
Oklahoma City, OK 73129

Services Rendered To:


Oklahoma Roofing & Sheetmetal
1708 Lowry Avenue
Oklahoma City, OK 73129
POLICY # 7012436951


*** 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. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00
  2. 102 Engine Response (Per Hour)

    $350.00
    2
    $700.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    2
    $300.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00
  6. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00
  7. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Interstate 40 Eastbound @ MM 249 - Henryetta, OK

    Ordinance Info: Tiger Mountain - McIntosh County Resolution 72021

Subtotal $2,079.00
Total Due $2,079.00


Updated
May 24, 2022 @ 5:06 pm

Invoice updated by Geoffrey.

Status Update
May 24, 2022 @ 5:06 pm

Status changed: Draft to Pending.

Updated
May 24, 2022 @ 5:07 pm

Invoice updated by Geoffrey.

Updated
July 13, 2022 @ 5:02 pm

Invoice updated by Geoffrey.