Bill To:


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

Services Rendered To:


Shishir Patel
20507 Barchan Point Way
Richmond, TX 77407
POLICY# 965325542


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

    $350.00
    1
    $350.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    2
    $4.00
  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 725 West Bound I-10-Sealy, TX

Subtotal $884.00
Total Due $884.00


Updated
March 3, 2023 @ 9:57 am

Invoice updated by Geoffrey.

Status Update
March 3, 2023 @ 9:57 am

Status changed: Draft to Pending.