Bill To:


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

Services Rendered To:


Gary Webster
9802 State Rd
Camdenton, MO 65020
POLICY# 913464061


Product
Price
Qty
Amount
  1. 405 Medical Extrication – Lvl 1

    Patient

    Gary Webster
    9802 State Rd
    Camdenton, MO 65020
    POLICY# 913464061

    $500.00
    1
    $500.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy E - Lebanon, MO

Subtotal $500.00
Total Due $500.00


Updated
December 12, 2023 @ 11:18 am

Invoice updated by Geoffrey.