Bill To:


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

Services Rendered To:


Jayln Johnson
1191 Fulton St
Dadeville, AL 36853
POLICY# 962742836

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-06-203-22-7 10/28/2022 02/01/2023 On Receipt Camp Hill VFD

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. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00
  4. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  5. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00
  6. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  8. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00

  9. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: Hwy 280 & Hwy 50- Camp Hill, AL

Subtotal $940.00
Total Due $940.00


Updated
February 1, 2023 @ 4:17 pm

Invoice updated by Geoffrey.

Status Update
February 1, 2023 @ 4:17 pm

Status changed: Draft to Pending.