Bill To:


PROGRESSIVE INSURANCE, TX
1045 Wisterwood Dr.
Houston, TX 77043

Services Rendered To:


Stephen Herber
14294 Eastside Road
Tyler, Texas 75707
Policy # 939240276


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

    $350.00
    1
    $350.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 16794 FM 279 - Chandler, Texas

Subtotal $850.00
Total Due $850.00
Updated
January 4, 2021 @ 10:50 pm

Invoice updated by Geoffrey.

Status Update
January 4, 2021 @ 10:50 pm

Status changed: Draft to Pending.