Bill To:


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

Services Rendered To:


Enrique Ramirez
1006 Ferndale Lane
Richmond, Texas 77406
Policy # 91321783


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

    $350.00
    1
    $350.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  6. 204 Flate (# Used)

    $8.00
    4
    $32.00
  7. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00
  8. 201 Oil Absorbent Material (# Used)

    $35.00
    10
    $350.00
  9. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  11. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  12. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 78 & FM 1620 - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $1,977.00
Total Due $1,977.00


Updated
October 7, 2021 @ 2:33 pm

Invoice updated by Geoffrey.