Bill To:


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

Services Rendered To:


Lopez Delores
247 McKinley Rd
Seguin, TX 78155
POLICY# 42132298

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-HS-403-22-365 09/08/2022 02/06/2023 On Receipt McQueeney VFD

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

    $350.00
    1.25
    $437.50
  2. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.25
    $125.00
  6. 201 Oil Absorbent Material (# Used)

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

    $100.00
    1.25
    $125.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 78 - McQueeney, TX

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $1,597.50
Total Due $1,597.50


Updated
February 6, 2023 @ 1:50 pm

Invoice updated by Geoffrey.

Status Update
February 6, 2023 @ 1:50 pm

Status changed: Draft to Pending.