Bill To:


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

Services Rendered To:


Michelle Borelon
6393 FM 932
Hamilton, TX 76531
POLICY# 974304596


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

    $500.00
    1
    $500.00
  2. 331 Air Bags (# Used)

    $150.00
    1
    $150.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  6. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US Hwy 281 & CR 401- Hamilton, TX

Subtotal $1,175.00
Total Due $1,175.00


Updated
March 26, 2024 @ 4:08 pm

Invoice updated by Geoffrey.

Status Update
March 26, 2024 @ 4:08 pm

Status changed: Draft to Pending.