Bill To:


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

Services Rendered To:


Gary Ervin Allen
15824 County Road 4060
Scurry, Texas 75158
Policy # 910852306


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

    $300.00
    4
    $1,200.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    4
    $600.00
  3. 206 Latex Gloves (Pairs Used)

    $2.00
    16
    $32.00
  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    4
    $400.00
  5. 232 N95 Mask (Per Unit/Per Use)

    $10.00
    1
    $10.00
  6. 701 Body Removal (Per Body)        

    Assisted with body removal   

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 227 Northbound Interstate Highway 45 - Corsicana, Texas

    Ordinance Info: City of Angus Billing Authorization Item # 7

Subtotal $2,492.00
Total Due $2,492.00


Updated
March 31, 2021 @ 5:47 pm

Invoice updated by Geoffrey.

Status Update
March 31, 2021 @ 5:47 pm

Status changed: Draft to Pending.

Updated
March 31, 2021 @ 5:48 pm

Invoice updated by Geoffrey.

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