Bill To:


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

Services Rendered To:


Eric Steinbach
1544 County Road 203
Paige, Texas 78659
Policy # 01051175-1

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-AZ-409-2021-68-A 08/17/2021 09/04/2021 On Receipt Valley Mills V.F.D.

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

    $150.00
    8.5
    $1,275.00
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    8.5
    $1,275.00
  3. 103 Rescue Response (Per Hour)

    $300.00
    8.5
    $2,550.00
  4. 102 Engine Response (Per Hour)

    $350.00
    8.5
    $2,975.00
  5. 105 Utility Vehicle Response (Per Hour)

    $150.00
    8.5
    $1,275.00
  6. 102 Engine Response (Per Hour)

    $350.00
    8.5
    $2,975.00
  7. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  8. 204 Flare (# Used)

    $8.00
    3
    $24.00
  9. 310 Hydraulic Tool (# Used)

    $200.00
    4
    $800.00
  10. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00
  11. 309 Power Tool (# Used)

    $50.00
    2
    $100.00
  12. 404 Scene Lighting (Per Hour)

    $75.00
    8.5
    $637.50
  13. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    8.5
    $850.00

  14. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 6 Near Delmar Ranch Road - Valley Mills, Texas

Subtotal $15,031.50
Total Due $15,031.50


Updated
September 3, 2021 @ 7:01 pm

Invoice updated by Geoffrey.

Status Update
September 3, 2021 @ 7:01 pm

Status changed: Draft to Pending.

Updated
September 3, 2021 @ 7:04 pm

Invoice updated by Geoffrey.

Viewed
July 27, 2022 @ 6:48 pm

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

Viewed
October 24, 2022 @ 10:56 pm

Invoice viewed by 64.124.8.27 for the first time.