Bill To:


Progressive County Mutual Insurance
6300 Wilson Mills Rd.
Mayfield, OH 44143

Services Rendered To:


Karl Kerzee
610 Davenport Rd
Sherman, TX 75090
POLICY# 03976439


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

    $350.00
    1
    $350.00
  2. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  4. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1479 County Rd 107- Whitesboro, TX

Subtotal $800.00
Total Due $800.00


Updated
January 20, 2023 @ 11:55 am

Invoice updated by Geoffrey.

Status Update
January 20, 2023 @ 11:55 am

Status changed: Draft to Pending.