Bill To:


STATE FARM INSURANCE
PO BOX 52250
PHOENIX, AZ 85072-2250

Services Rendered To:


Arif Iqbal
11363 N. 162 East Ave
Owasso, OK 74055


Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $500.00
    1.25
    $625.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1.25
    $250.00
  3. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00
  4. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  5. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00
  6. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75
  7. 306 Hose Per 50′ (Amt Used)

    $25.00
    4
    $100.00
  8. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  9. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 21036 S 4190 Rd- Claremore, OK

Subtotal $1,518.75
Total Due $1,518.75


Updated
February 12, 2024 @ 6:35 pm

Invoice updated by Geoffrey.

Status Update
February 12, 2024 @ 6:35 pm

Status changed: Draft to Pending.