Bill To:


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

Services Rendered To:


Theresa Ann Anderson
POLICY# 957041309

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AC-409-24-25-B 02/14/2024 02/17/2024 On Receipt City of Huntington VFD

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

    $500.00
    1
    $500.00
  2. 102 Engine Response (Per Hour)

    $500.00
    1
    $500.00
  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Fm 2109- Huntington, TX

    Ordinance Info: City of Huntington VFD Resolution, Angelina County, Texas

Subtotal $1,350.00
Total Due $1,350.00


Updated
February 17, 2024 @ 5:04 pm

Invoice updated by Geoffrey.