Bill To:


PROGRESSIVE CLAIMS*
PO Box 94670
Cleveland, OH 44101

Services Rendered To:


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

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
MO-05-307-23-160-E 12/10/2023 12/12/2023 On Receipt Eldridge V.F.D.

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

Final Notice

04/01/2024


Updated
December 12, 2023 @ 11:18 am

Invoice updated by Geoffrey.

Updated
April 30, 2024 @ 7:26 pm

Invoice updated by Karen Smith.

Viewed
April 30, 2024 @ 7:26 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.

Viewed
April 30, 2024 @ 7:28 pm

Invoice viewed by Karen Meder - Smith (KarenS) for the first time.