Bill To:


Progressive Insurance – Medical
P.O. Box 2930
Clinton, IA 52733-2930

Services Rendered To:


Sarah Wilson
East Highway 84111
Eldridge, MO 36456
Policy # 942172634


Product
Price
Qty
Amount
  1. 406 Medical Extrication – Lvl 2

    Patient:

    Sarah Wilson
    East Highway 84111
    Eldridge, MO 36456
    Policy # 942172634

    $1,500.00
    1
    $1,500.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 18255 Highway East- Eldridge, MO

Subtotal $1,500.00
Total Due $1,500.00


Updated
July 17, 2021 @ 4:27 pm

Invoice updated by Geoffrey.

Updated
July 17, 2021 @ 4:27 pm

Invoice updated by Geoffrey.

Updated
July 17, 2021 @ 4:28 pm

Invoice updated by Geoffrey.

Updated
September 12, 2021 @ 3:15 pm

Invoice updated by Geoffrey.

Updated
September 12, 2021 @ 3:15 pm

Invoice updated by Geoffrey.

Updated
September 22, 2021 @ 4:27 pm

Invoice updated by Geoffrey.

Updated
September 22, 2021 @ 4:29 pm

Invoice updated by Geoffrey.

Updated
September 22, 2021 @ 4:30 pm

Invoice updated by Geoffrey.

Updated
September 22, 2021 @ 4:31 pm

Invoice updated by Geoffrey.