Bill To:


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

Services Rendered To:


Mazen Sweidan
P.O. Box 9407
College Station, TX 77842
POLICY # 02725511-6

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-PT-303-22-01 08/01/2022 08/02/2022 On Receipt Kosse V.F.D.

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

    $350.00
    1.25
    $437.50
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  3. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00
  4. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  5. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: State Highway 14 - 1 Mile South of Kossie, Texas

Subtotal $715.00
Total Due $715.00


Updated
August 2, 2022 @ 2:40 pm

Invoice updated by Geoffrey.

Status Update
August 2, 2022 @ 2:40 pm

Status changed: Draft to Pending.

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