Bill To:


Katlyn Ann Carter
19467 Longview Street
Thackerville, OK 73459

Services Rendered To:


Katlyn Ann Carter
19467 Longview Street
Thackerville, OK 73459
Policy # 923717035


*** THIS HAS BEEN SUBMITTED TO YOUR INSURANCE COMPANY AND DENIED. THIS IS NOW YOUR RESPONSIBILITY. ***

Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: CR 147 & CR 174 - Gainesville, TX

Subtotal $600.00
Total Due $600.00


Updated
June 22, 2021 @ 1:27 pm

Invoice updated by Geoffrey.

Status Update
June 22, 2021 @ 1:27 pm

Status changed: Draft to Pending.

Updated
November 16, 2021 @ 2:58 pm

Invoice updated by Geoffrey.

Updated
June 15, 2022 @ 4:13 pm

Invoice updated by Geoffrey.