Bill To:


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

Services Rendered To:


Kimberly Watkins
417 Marchand St
Newport, AR 72112
POLICY# 970328683

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AR-34-008-23-29 08/20/2023 08/22/2023 On Receipt Erwin VFD

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

    $500.00
    1
    $500.00
  2. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  3. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 17 & Jackson 256- Newport, AR

Subtotal $1,250.00
Total Due $1,250.00


Updated
August 22, 2023 @ 4:56 pm

Invoice updated by Geoffrey.

Status Update
August 22, 2023 @ 4:56 pm

Status changed: Draft to Pending.