Bill To:


ENCOMPASS INSURANCE
PO BOX 16203
READING, PA 19612-6203

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


Updated
May 13, 2022 @ 5:42 pm

Invoice updated by Geoffrey.

Status Update
May 13, 2022 @ 5:42 pm

Status changed: Draft to Pending.