Bill To:


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

Services Rendered To:


Coby Merriman
306 N Ave D
Blum, TX 76627
POLICY# 913541631

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-KP-403-24-9924-B 04/07/2024 04/11/2024 On Receipt White Bluff V.F.D.

Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1.5
    $300.00
  2. 101 Aerial/Ladder Response (Per Hour)

    $550.00
    1.5
    $825.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.5
    $375.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  5. 206 Latex Gloves (Pairs Used)

    $2.00
    1
    $2.00
  6. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00
  8. 323 Portable Radio (# Used)

    $10.00
    2
    $20.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 5643 FM 933- Whitney, TX 76692

    Ordinance Info: White Bluff VFD, Hill County, TX Resolution

Subtotal $1,957.00
Total Due $1,957.00


Updated
April 11, 2024 @ 5:03 pm

Invoice updated by Geoffrey.