Bill To:


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

Services Rendered To:


Brandon Lawson
1018 E. Cambridge St
Springfield, MO 65807
POLICY# 931491140

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-KB-403-23-16384 07/10/2023 08/14/2023 On Receipt Woodlawn Fire Department

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

    $500.00
    1.25
    $625.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 59 & Oney Dr- Woodlawn, TX

Subtotal $750.00
Total Due $750.00


Updated
August 14, 2023 @ 11:17 am

Invoice updated by Geoffrey.

Status Update
August 14, 2023 @ 11:17 am

Status changed: Draft to Pending.

Viewed
July 23, 2024 @ 3:38 am

Invoice viewed by 173.252.83.12 for the first time.