Bill To:


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

Services Rendered To:


Chacey Yancy
185 Pennington Ln
Onieda, TN 37841
POLICY# 912170091

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TN-76-821-24-34 05/04/2024 05/07/2024 On Receipt Paint Rock VFD

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

    $500.00
    1.5
    $750.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00
  3. 326 Safety Fest (# Used)

    $2.50
    3
    $7.50
  4. 323 Portable Radio (# Used)

    $10.00
    3
    $30.00
  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Paint Rock Rd & Tunnel Hill Rd- Oneida, TN

Subtotal $1,187.50
Total Due $1,187.50


Updated
May 7, 2024 @ 2:22 pm

Invoice updated by Geoffrey.

Status Update
May 7, 2024 @ 2:22 pm

Status changed: Draft to Pending.