Bill To:


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

Services Rendered To:


Heather Nygoard
5451 Hwy 35
Rockport, TX 78382
POLICY# 954125180

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AD-505-23-470 10/03/2023 10/10/2023 On Receipt Rock Port VFD

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

    $500.00
    1
    $500.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $200.00
    1
    $200.00
  3. 306 Hose Per 50′ (Amt Used)

    $25.00
    3
    $75.00
  4. 418 Environmental Hazard Cleanup/Removal

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

    $65.00
    10
    $650.00
  6. 313 TIC Thermal Imaging Camera (# Used)

    $100.00
    1
    $100.00

  7. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: Rockport City Limits- Rockport, TX

Subtotal $1,775.00
Total Due $1,775.00


Updated
October 10, 2023 @ 11:00 am

Invoice updated by Geoffrey.

Status Update
October 10, 2023 @ 11:00 am

Status changed: Draft to Pending.