Bill To:


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

Services Rendered To:


Ysabel Garza
4911 Captains Place Drive
Garland, Texas 75043
Policy # 934772815


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  2. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  4. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 287 and FM 739 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $433.00
Total Due $433.00


Updated
February 3, 2022 @ 5:15 pm

Invoice updated by Geoffrey.

Status Update
February 3, 2022 @ 5:16 pm

Status changed: Draft to Pending.