Bill To:


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

Services Rendered To:


D-Man Trucking LLC
1129 Flatwater Trl
Crowley, TX 76036
POLICY# 960012998

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-KP-401-23-27 01/29/2023 02/20/2023 On Receipt Peoria VFD

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

    $350.00
    4.25
    $1,487.50
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    4.25
    $637.50
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    4.25
    $637.50
  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  5. 205 Foam (Per Gallon)

    $65.00
    5
    $325.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  7. 301 Hand Tool (# Used)

    $15.00
    5
    $75.00
  8. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  9. 404 Scene Lighting (Per Hour)

    $75.00
    4.25
    $318.75
  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    4.25
    $425.00
  11. 207 Wetting Agent (Amt Used)

    $25.00
    2
    $50.00
  12. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00

  13. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 1947 & Hwy 22- Hillsboro, TX

    Ordinance Info: Recovery of Service Costs for Peoria VFD

Subtotal $4,303.25
Total Due $4,303.25


Updated
February 20, 2023 @ 11:25 am

Invoice updated by Geoffrey.

Status Update
February 20, 2023 @ 11:25 am

Status changed: Draft to Pending.