Bill To:


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

Services Rendered To:


Abigail Reavis
8328 S Yorktown Ave #101
Tulsa, OK 74137

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-41-016-24-6 01/17/2024 01/23/2024 On Receipt Jacktown Fire Protection District

Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1.25
    $250.00
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 990326 S Hwy 177- Jacktown, OK

    Ordinance Info: Jacktown Cost Recovery Resolution

Subtotal $820.50
Total Due $820.50


Updated
January 23, 2024 @ 11:40 am

Invoice updated by Geoffrey.

Status Update
January 23, 2024 @ 11:40 am

Status changed: Draft to Pending.