Bill To:


ALLSTATE FIRE AND CASUALTY
2775 SANDERS ROAD
NORTHBROOK, IL 60062-6110

Services Rendered To:


Bruce Hays
5316 SE 88th St
Oklahoma City, OK 73135
POLICY# 0000081546972


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    2.5
    $750.00
  2. 102 Engine Response (Per Hour)

    $350.00
    2.5
    $875.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.5
    $250.00
  4. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I-40 WB 248mm- Henryetta, OK

    Ordinance Info: Tiger Mountain - McIntosh County Resolution 72021

Subtotal $1,900.00
Total Due $1,900.00


Updated
November 8, 2022 @ 1:58 pm

Invoice updated by Geoffrey.

Status Update
November 8, 2022 @ 1:58 pm

Status changed: Draft to Pending.