Bill To:


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

Services Rendered To:


Willie Talton
918 CR 2230
Douglassville, TX 75560
Policy # 46951891


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

    $350.00
    2
    $700.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00
  3. 302 Hand Light (# Used)

    $5.00
    2
    $10.00
  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  5. 409 Manpower (Per Hour)

    4 men x 2 Hours each

    $20.00
    8
    $160.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00
  7. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Highway 8 and County Road 2230

Subtotal $1,950.00
Total Due $1,950.00
Updated
June 2, 2020 @ 12:58 pm

Invoice updated by Karen Smith.

Status Update
June 2, 2020 @ 12:58 pm

Status changed: Draft to Pending.