Bill To:


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

Services Rendered To:


Lulis Curtis Alexander Jr
509 Jefferson Pl
Atlanta, TX 75551
POLICY# 964521435


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $400.00
    1.75
    $700.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1.75
    $350.00
  3. 102 Engine Response (Per Hour)

    $500.00
    1.75
    $875.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00
  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 12387 US Hwy 59- Jefferson, TX

Subtotal $2,350.00
Total Due $2,350.00


Updated
November 27, 2023 @ 8:16 pm

Invoice updated by Geoffrey.

Status Update
November 27, 2023 @ 8:16 pm

Status changed: Draft to Pending.

Viewed
March 29, 2024 @ 8:21 pm

Invoice viewed by 66.249.72.4 for the first time.