Bill To:


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

Services Rendered To:


Shanda Ince
146 Meadow Path
New Braunfels, TX 78130
Policy # 936596378


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

    $350.00
    1.25
    $437.50
  2. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  4. 331 Air Bags (# Used)

    $150.00
    1
    $150.00
  5. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  6. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  7. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.25
    $125.00
  8. 204 Flare (# Used)

    $8.00
    6
    $48.00
  9. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00
  10. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  11. 202 Oil Absorbent Sheet (# Used)

    $2.50
    4
    $10.00
  12. 201 Oil Absorbent Material (# Used)

    $35.00
    10
    $350.00
  13. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75
  14. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  15. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  16. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 5200 Block of FM 725 - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution NO. 4521

Subtotal $2,462.75
Total Due $2,462.75


Updated
August 8, 2021 @ 5:07 pm

Invoice updated by Geoffrey.

Status Update
August 8, 2021 @ 5:07 pm

Status changed: Draft to Pending.