Bill To:


PROGRESSIVE CLAIMS*
PO Box 94670
Cleveland, OH 44101

Services Rendered To:


Cole Wyatt
4051 Lakeview Dr
Millbrook, AL 36054
POLICY# 972403315

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
AL-01-403-23-1171 10/26/2023 10/30/2023 On Receipt Jemison Fire Department

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

    $500.00
    1.25
    $625.00
  2. 103 Rescue Response (Per Hour)

    $400.00
    1.25
    $500.00
  3. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    3
    $150.00
  4. 304 SCBA Cylinder (# Used)

    $25.00
    3
    $75.00
  5. 306 Hose Per 50′ (Amt Used)

    $25.00
    4
    $100.00
  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  7. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: 215 I-65 SB- Clanton, AL

Subtotal $1,700.00
Total Due $1,700.00

Final Notice

04/07/2024


Updated
October 30, 2023 @ 3:43 pm

Invoice updated by Geoffrey.

Status Update
October 30, 2023 @ 3:43 pm

Status changed: Draft to Pending.

Updated
April 30, 2024 @ 7:24 pm

Invoice updated by Karen Smith.

Viewed
April 30, 2024 @ 7:24 pm

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