Bill To:


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

Services Rendered To:


Michael Sutherland
84 S. 195th E. Ave
Tulsa, OK 74108
Policy # 955010523

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
OK-59-007-22-70-2 05/21/2022 06/14/2022 On Receipt North 48 Fire Department

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

    $350.00
    2.75
    $962.50
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    2.75
    $412.50
  3. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  5. 202 Oil Absorbent Sheet (# Used)

    $2.50
    4
    $10.00
  6. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2.75
    $275.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: US Highway 64 & State Highway 48 - Cleveland, OK

Subtotal $1,957.00
Total Due $1,957.00


Updated
June 14, 2022 @ 12:33 pm

Invoice updated by Geoffrey.

Viewed
July 27, 2022 @ 6:38 pm

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