Bill To:


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

Services Rendered To:


Alberto Montoya
2202 FM 226
Nacogdoches, TX 75961
Policy # 952247003


Product
Price
Qty
Amount
  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  2. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00
  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00
  4. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    1
    $50.00
  5. 304 SCBA Cylinder (# Used)

    $25.00
    1
    $25.00
  6. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00
  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00
  8. 207 Wetting Agent (Amt Used)

    $25.00
    1
    $25.00
  9. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

  10. Additional Incident Info

    Incident Type: Vehicle Fire Response

    Incident Location: Highway 69 South @ Gipson Lane - Zavalla, Texas

Subtotal $815.00
Total Due $815.00


Updated
September 16, 2021 @ 3:13 pm

Invoice updated by Geoffrey.

Status Update
September 16, 2021 @ 3:13 pm

Status changed: Draft to Pending.

Updated
September 16, 2021 @ 3:14 pm

Invoice updated by Geoffrey.