Bill To:


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

Services Rendered To:


Kevin Stroud
POLICY# 942120786AA422009
Vin# 4S4BTANC6N3180661
LICENSE PLATE# RHT 9468

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AD-505-23-174 04/12/2023 04/12/2023 On Receipt Rock Port VFD

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

    $350.00
    1
    $350.00
  2. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1400 S Bypass 35- Rockport, TX

Subtotal $365.00
Total Due $365.00


Updated
April 12, 2023 @ 2:42 pm

Invoice updated by Geoffrey.

Status Update
April 12, 2023 @ 2:42 pm

Status changed: Draft to Pending.