Bill To:


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

Services Rendered To:


Katy Gilliand
913 N Wikoff Ln
Watonga, OK 73772
POLICY# 150-6679-B11-36E


Product
Price
Qty
Amount
  1. 104 Tanker Response (Per Hour)

    $400.00
    1
    $400.00
  2. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  7. 326 Safety Fest (# Used)

    $2.50
    5
    $12.50
  8. 324 Traffic Cone (# Used)

    $5.00
    5
    $25.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Turner Turnpike MM 153- Wellston, OK

Subtotal $1,329.50
Total Due $1,329.50


Updated
January 25, 2024 @ 11:30 am

Invoice updated by Geoffrey.

Status Update
January 25, 2024 @ 11:30 am

Status changed: Draft to Pending.