Bill To:


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

Services Rendered To:


Jason Garcia
11011 Domain Dr #8122
Austin, TX 78681
POLICY# 937368933


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

    $200.00
    1.75
    $350.00
  2. 102 Engine Response (Per Hour)

    $500.00
    1.75
    $875.00
  3. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.75
    $437.50
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    12
    $24.00
  5. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  6. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  7. 404 Scene Lighting (Per Hour)

    $75.00
    1.75
    $131.25
  8. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.75
    $175.00
  9. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  10. 314 Cribbing – Lvl 1 (Passenger Vehicle) (Used)

    $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: SH 45 EB to Mopac- Round Rock, TX

    Ordinance Info: Sam Bass Cost Recovery Resolution

Subtotal $2,672.75
Total Due $2,672.75


Updated
March 7, 2024 @ 10:53 am

Invoice updated by Geoffrey.

Status Update
March 7, 2024 @ 10:53 am

Status changed: Draft to Pending.