Bill To:


PROGRESSIVE CLAIMS*
PO Box 94670
Cleveland, OH 44101

Services Rendered To:


Emma Alvizo
602 Vine Ave
Lavon, TX 75166
POLICY# 968593848

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-CN-310-24-412 05/18/2024 05/20/2024 On Receipt Lavon VFD

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

    $200.00
    1.5
    $300.00
  2. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00
  3. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00
  4. 101 Aerial/Ladder Response (Per Hour)

    $550.00
    1.5
    $825.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: St Hwy 205- Lavon, TX

    Ordinance Info: City of Lavon Resolution NO. 2020-03-01

Subtotal $1,410.00
Total Due $1,410.00


Updated
May 20, 2024 @ 9:04 pm

Invoice updated by Geoffrey.

Status Update
May 20, 2024 @ 9:04 pm

Status changed: Draft to Pending.