Bill To:


Shawna McIntyre
815 N. Burns
Holdenville, OK 74848

Services Rendered To:


Shawna McIntyre
815 N. Burns
Holdenville, OK 74848


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

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

    $500.00
    1
    $500.00
  2. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  3. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  4. 407 Patient Care / Evaluation (Per Patient)

    $50.00
    1
    $50.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 13594 Highway 56 - Sasakawa, Oklahoma

Subtotal $637.00
Total Due $637.00


Updated
February 22, 2022 @ 2:47 pm

Invoice updated by Geoffrey.

Status Update
February 22, 2022 @ 2:47 pm

Status changed: Draft to Pending.

Updated
February 22, 2022 @ 2:48 pm

Invoice updated by Geoffrey.

Updated
August 31, 2022 @ 7:28 pm

Invoice updated by Geoffrey.

Viewed
October 25, 2022 @ 5:18 pm

Invoice viewed by 64.124.8.36 for the first time.