Bill To:


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

Services Rendered To:


Lonnie Sanders
1725 Lazy U Street
Canton, Texas 75103
Policy # 905435086


Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  3. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    3
    $6.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 64 @ CR 4807 - Ben Wheeler, Texas

Subtotal $856.00
Total Due $856.00


Updated
May 25, 2021 @ 5:50 pm

Invoice updated by Geoffrey.

Status Update
May 25, 2021 @ 5:50 pm

Status changed: Draft to Pending.

Updated
May 25, 2021 @ 5:50 pm

Invoice updated by Geoffrey.

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