Bill To:

ALLSTATE INSURANCE
3075 SANDERS ROAD - SUITE H1A
NORTHBROOK, IL 60062-7127

Services Rendered To:

Aya Okada
6475 36th Ave, NW 735
Norman, OK 73072


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I-40 Westbound @ MM 250 - Henryetta, OK

    Ordinance Info: Tiger Mountain - McIntosh County Resolution 72021

Subtotal $1,375.00
Total Due $1,375.00
Total Payments Received $1,375.00
Balance $0.00


Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.

Updated
May 13, 2022 @ 5:42 pm

Invoice updated by Geoffrey.

Status Update
May 13, 2022 @ 5:42 pm

Status changed: Draft to Pending.

Updated
November 17, 2022 @ 4:00 pm

Invoice updated by Geoffrey.

Status Update
December 29, 2022 @ 12:24 pm

Status changed: Pending to Paid.

Payment
December 29, 2022 @ 5:24 pm

Admin Payment
Payment Total: $1,375.00