Bill To:


Shelley King
19730 Southeast 29th
Harrah, OK 73045

Services Rendered To:


Shelley King
19730 Southeast 29th
Harrah, OK 73045


*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount
  1. 410 Fire Department Response Fee – Lvl 1

    Fire Department Response

    $200.00
    1
    $200.00

  2. Additional Incident Info

    Incident Type: Fire Department Response

    Incident Location: 19730 Southeast 29th Harrah, OK 73045

Subtotal $200.00
Total Due $200.00


Updated
August 17, 2022 @ 4:03 pm

Invoice updated by Geoffrey.

Status Update
August 17, 2022 @ 4:03 pm

Status changed: Draft to Pending.