Bill To:


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

Services Rendered To:


Claim# 23-8680417
Kire Mason Kirby Roark
3078 River Bend Ln.
Sealy, TX 77474


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

    $350.00
    1.25
    $437.50
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  6. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00
  7. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75
  8. 319 Generator (Per Generator/Per Hour)

    $50.00
    1.25
    $62.50
  9. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  10. 209 Extinguisher (# Used)

    $50.00
    1
    $50.00
  11. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  12. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 913 Bartlett Rd., Sealy, TX77474

Subtotal $1,573.75
Total Due $1,573.75


Updated
April 24, 2023 @ 12:15 pm

Invoice updated by Karen Smith.

Status Update
April 24, 2023 @ 12:15 pm

Status changed: Draft to Pending.