Bill To:


Progressive County Mutual Insurance
6300 Wilson Mills Rd.
Mayfield, OH 44143

Services Rendered To:


Dale John
1303 FM 1502
Detroit, TX 75436
POLICY# 950668177


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

    $150.00
    1.25
    $187.50
  2. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50
  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50
  4. 218 Cervical Collar (# Used)

    $25.00
    3
    $75.00
  5. 309 Power Tool (# Used)

    $50.00
    3
    $150.00
  6. 314 Cribbing – Lvl 1 (Passenger Vehicle) (Used)

    $100.00
    2
    $200.00
  7. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  8. 209 Extinguisher (# Used)

    $50.00
    4
    $200.00
  9. 208 Fire Line Tap (Per Foot, Amt Used)

    $0.25
    200
    $50.00
  10. 402 Fire/Police Services (Per Hour)    

    $100.00
    1.25
    $125.00
  11. 204 Flare (# Used)

    $8.00
    8
    $64.00
  12. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00
  13. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00
  14. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  15. 201 Oil Absorbent Material (# Used)

    $35.00
    4
    $140.00
  16. 317 Rescue Struts (# Used)

    $50.00
    1
    $50.00
  17. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    4
    $200.00
  18. 304 SCBA Cylinder (# Used)

    $25.00
    4
    $100.00
  19. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75
  20. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  21. 306 Hose Per 50′ (Amt Used)

    $25.00
    2
    $50.00
  22. 408 Air Medical Landing Zone (Used)

    $250.00
    1
    $250.00
  23. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

  24. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 6700 E Hwy 82- Gainesville, TX

Subtotal $3,631.25
Total Due $3,631.25


Updated
January 23, 2023 @ 10:50 am

Invoice updated by Geoffrey.

Status Update
January 23, 2023 @ 10:50 am

Status changed: Draft to Pending.

Viewed
March 20, 2024 @ 6:24 pm

Invoice viewed by 66.249.72.5 for the first time.