Bill To:


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

Services Rendered To:


Brandon Tiner
PH# 214-714-5318
Policy # 912517794

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-CN-310-2020-118-A 04/14/2020 04/16/2020 On Receipt Lavon Volunteer Fire Department

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

    $350.00
    1
    $350.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 and Highway 6 - Lavon, Texas

    Ordinance Info: RESOLUTION NO. 2020-03-01

Subtotal $850.00
Total Due $850.00
Updated
April 16, 2020 @ 2:14 pm

Invoice updated by Karen Smith.

Status Update
April 16, 2020 @ 2:14 pm

Status changed: Draft to Pending.

Updated
April 16, 2020 @ 2:17 pm

Invoice updated by Karen Smith.

Viewed
October 22, 2022 @ 7:48 am

Invoice viewed by 64.124.8.27 for the first time.