Bill To:


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

Services Rendered To:


Nachelle Henson
14228 Henry St
Ore City, TX 75683
POLICY# 959972313

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-CN-310-24-695 02/28/2024 02/29/2024 On Receipt Lavon VFD

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

    $500.00
    1.75
    $875.00
  2. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.75
    $175.00
  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  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: ST Hwy 78 & Grand Heritage- Lavon, TX

    Ordinance Info: City of Lavon Resolution NO. 2020-03-01

Subtotal $1,490.00
Total Due $1,490.00


Updated
February 29, 2024 @ 9:20 am

Invoice updated by Geoffrey.

Status Update
February 29, 2024 @ 9:20 am

Status changed: Draft to Pending.

Updated
February 29, 2024 @ 9:21 am

Invoice updated by Geoffrey.