Bill To:


PROGRESSIVE INSURANCE
6300 WILSON MILLS ROAD
MAYFIELD VILLAGE, OH 44143-2109

Services Rendered To:


Robert Lewis
506 S Bay St
Buckner, AR 71827
POLICY# 53212242


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

    $500.00
    4.5
    $2,250.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    4.5
    $1,800.00
  3. 102 Engine Response (Per Hour)

    $500.00
    4.5
    $2,250.00
  4. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00
  5. 205 Foam (Per Gallon)

    $65.00
    4
    $260.00
  6. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  7. 320 Portable Pond (# Used)

    $150.00
    1
    $150.00
  8. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  9. 304 SCBA Cylinder (# Used)

    $25.00
    4
    $100.00
  10. 404 Scene Lighting (Per Hour)

    $75.00
    4.5
    $337.50
  11. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    4.5
    $450.00
  12. 306 Hose Per 50′ (Amt Used)

    $25.00
    10
    $250.00
  13. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  14. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Waldo, AR

Subtotal $8,377.50
Total Due $8,377.50


Updated
December 28, 2023 @ 1:30 pm

Invoice updated by Geoffrey.

Status Update
December 28, 2023 @ 1:30 pm

Status changed: Draft to Pending.