Bill To:


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

Services Rendered To:


Kylee Tinkner
POLICY# 954180978

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-RN-428-22-102 12/01/2022 01/23/2023 On Receipt Downsville VFD

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. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00
  4. 204 Flare (# Used)

    $8.00
    6
    $48.00
  5. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 12033 S. 3rd St- Waco, TX

Subtotal $1,413.00
Total Due $1,413.00


Updated
January 23, 2023 @ 10:38 am

Invoice updated by Geoffrey.

Status Update
January 23, 2023 @ 10:38 am

Status changed: Draft to Pending.