Bill To:


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

Services Rendered To:


Kevin Stokes
9682 Highway 8 North
Douglassville, Texas 75560
POLICY # 929007624


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

    $350.00
    1.5
    $525.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00
  3. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  4. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00
  6. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  7. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 995 - East of Highway 8 - Cass County, Texas

Subtotal $1,665.00
Total Due $1,665.00


Updated
September 26, 2022 @ 1:28 pm

Invoice updated by Geoffrey.

Status Update
September 26, 2022 @ 1:28 pm

Status changed: Draft to Pending.

Updated
September 26, 2022 @ 1:29 pm

Invoice updated by Geoffrey.

Updated
September 26, 2022 @ 3:05 pm

Invoice updated by Geoffrey.