Bill To:


Progressive County Mutual Insurance
6300 Wilson Mills Rd.
Mayfield, OH 44143

Services Rendered To:


Jose Guillen
415 Hill Street
Lavon, Texas 75166
Policy # 932537374


Product
Price
Qty
Amount
  1. 101 Aerial/Ladder Response (Per Hour)

    $400.00
    1
    $400.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 & Highway 6 - Lavon, Texas

    Ordinance Info: City of Lavon - Resolution NO. 2020-03-01

Subtotal $500.00
Total Due $500.00


Updated
October 31, 2021 @ 5:50 pm

Invoice updated by Geoffrey.

Status Update
October 31, 2021 @ 5:51 pm

Status changed: Draft to Pending.

Viewed
July 27, 2022 @ 6:47 pm

Invoice viewed by Karen Smith (KarenS) for the first time.

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October 24, 2022 @ 7:29 am

Invoice viewed by 64.124.8.45 for the first time.