Bill To:


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

Services Rendered To:


Michael Kizziar
1010 PR 8049
Jefferson, Texas 75657
Policy # 933603903


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

    $350.00
    1.5
    $525.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00
  3. 404 Scene Lighting (Per Hour)

    $75.00
    1.5
    $112.50

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 3825 Highway 59 North - Marshall, Texas

Subtotal $787.50
Total Due $787.50


Updated
January 27, 2021 @ 1:22 pm

Invoice updated by Geoffrey.

Status Update
January 27, 2021 @ 1:22 pm

Status changed: Draft to Pending.