Bill To:


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

Services Rendered To:


Antoine Barron
120 Falcon Way, Apt 82
Montevallo, AL 35115
POLICY# 945623169


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

    $350.00
    1
    $350.00
  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00
  3. 331 Air Bags (# Used)

    $150.00
    2
    $300.00
  4. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  5. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00
  6. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00
  7. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  8. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00
  9. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 993 AL Hwy 155- Jemison, AL

Subtotal $1,492.00
Total Due $1,492.00


Updated
June 29, 2023 @ 5:55 pm

Invoice updated by Geoffrey.

Status Update
June 29, 2023 @ 5:55 pm

Status changed: Draft to Pending.

Updated
June 29, 2023 @ 5:57 pm

Invoice updated by Geoffrey.