Bill To:


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

Services Rendered To:


Kathryn Clark
410 N.E. 135th Street
Lawton, OK 73507
POLICY # 955686193


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

    $350.00
    1
    $350.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00
  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  6. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: S.H. 7 & SE. 75th Street - Lawton, OK

Subtotal $895.00
Total Due $895.00


Updated
July 10, 2022 @ 7:55 pm

Invoice updated by Geoffrey.

Status Update
July 10, 2022 @ 7:55 pm

Status changed: Draft to Pending.