Bill To:


Sally Ann Strong
206 West Division, Apt. #1
Henryetta, OK 74437

Services Rendered To:


Sally Ann Strong
206 West Division, Apt. #1
Henryetta, OK 74437
Policy # N35193676


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

    $250.00
    1
    $250.00
  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 266 - Checotah, OK

Subtotal $500.00
Total Due $500.00


Updated
May 16, 2021 @ 4:38 pm

Invoice updated by Geoffrey.

Status Update
May 16, 2021 @ 4:38 pm

Status changed: Draft to Pending.

Updated
June 11, 2022 @ 4:34 pm

Invoice updated by Karen Smith.