Bill To:


PROGRESSIVE INSURANCE, TX
1045 Wisterwood Dr.
Houston, TX 77043

Services Rendered To:


Anna Martinez
517 SW CR 0005
Corsicana, Tx 75110
Policy # 925199040

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-SH-201-C21-05592 03/08/2021 03/12/2021 On Receipt Angus Vol. Fire Department

Product
Price
Qty
Amount
  1. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00
  2. 105 Utility Vehicle Response (Per Hour)

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

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

    $2.00
    18
    $36.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00
  7. 232 N95 Mask (Per Unit/Per Use)

    $10.00
    9
    $90.00

  8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 225 Exit Ramp / Service Road of Interstate 45 - Angus, TX

    Ordinance Info: City of Angus Billing Authorization Item # 7

Subtotal $951.00
Total Due $951.00


Updated
March 11, 2021 @ 3:30 pm

Invoice updated by Geoffrey.

Status Update
March 11, 2021 @ 3:30 pm

Status changed: Draft to Pending.

Updated
April 20, 2021 @ 4:28 pm

Invoice updated by Geoffrey.

Viewed
June 24, 2021 @ 5:00 pm

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

Updated
July 15, 2021 @ 6:58 pm

Invoice updated by Geoffrey.

Viewed
October 23, 2022 @ 1:07 am

Invoice viewed by 64.124.8.45 for the first time.