Bill To:


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

Services Rendered To:


Zen Fundley
VIN# 1N4DL01DO10207729

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TN-76-821-23-823-C 08/03/2023 11/30/2023 On Receipt Paint Rock VFD

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

    $500.00
    1.75
    $875.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Paint Rock Rd- Helenwood, TN

Subtotal $1,300.00
Total Due $1,300.00


Updated
November 30, 2023 @ 11:06 am

Invoice updated by Geoffrey.