Bill To:


Jennie Klien
3950 S Luther Rd
Newalla, OK 73045

Services Rendered To:


Jennie Klien
3950 S Luther Rd
Newalla, OK 73045

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-55-024-22-193 10/17/2022 02/01/2023 On Receipt Newalla FD

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

    $150.00
    1
    $150.00
  2. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00
  3. 337 AED (# Used)

    $50.00
    1
    $50.00

  4. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 3950 S Luther Rd Newalla, OK 73045

Subtotal $208.00
Total Due $208.00


Updated
February 1, 2023 @ 1:11 am

Invoice updated by Geoffrey.

Status Update
February 1, 2023 @ 1:11 am

Status changed: Draft to Pending.