Bill To:


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

Services Rendered To:


Maria Cardenas
8214 Delta Down Dr
Fulshear, TX 77441
POLICY# 946277406

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AK-305-22-733110-A 12/28/2022 02/01/2023 On Receipt San Felipe/ Frydek VFD

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

    $150.00
    1
    $150.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 1458/ Riverside- Sealy, TX

Subtotal $750.00
Total Due $750.00


Updated
January 31, 2023 @ 11:31 pm

Invoice updated by Geoffrey.

Status Update
January 31, 2023 @ 11:31 pm

Status changed: Draft to Pending.