Bill To:


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

Services Rendered To:


Vanessa Salverda
1407 SE 18th Street
Mineral Wells, TX 76067
Policy # 942568124


Product
Price
Qty
Amount
  1. 104 Tanker Response (Per Hour)

    $300.00
    1.25
    $375.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  3. 326 Safety Vest (# Used)

    $2.50
    2
    $5.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: East Highway 199 East Bound - Azle, Texas

    Ordinance Info: Briar Reno Fire department - Bylaws Authorization for Cost Recovery

Subtotal $480.00
Total Due $480.00


Updated
December 9, 2020 @ 1:33 pm

Invoice updated by Geoffrey.

Status Update
December 9, 2020 @ 1:33 pm

Status changed: Draft to Pending.

Updated
December 9, 2020 @ 1:33 pm

Invoice updated by Geoffrey.

Updated
March 1, 2021 @ 5:38 pm

Invoice updated by Geoffrey.

Viewed
June 24, 2021 @ 4:53 pm

Invoice viewed by Karen Smith (KarenS) for the first time.

Viewed
October 24, 2022 @ 1:46 am

Invoice viewed by 64.124.8.25 for the first time.