Bill To:


Farmers Insurance
PO Box 268993
Oklahoma City, OK 73126

Services Rendered To:


Paul Davis
RR3 Box 360B
Henryetta, OK 74437
POLICY # 192443759


Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: HWY 266 & Junction of HWY 72-Council Hill, OK

    Ordinance Info: Paradise Point Cost Recovery Resolution 1621

Subtotal $680.00
Total Due $680.00


Updated
September 21, 2022 @ 1:00 pm

Invoice updated by Geoffrey.

Status Update
September 21, 2022 @ 1:00 pm

Status changed: Draft to Pending.