Bill To:


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

Services Rendered To:


John Self
1169 CR 2116
Douglasville, TX 75560
POLICY# 39864866


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

    $500.00
    1.5
    $750.00

  2. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 1169 CR 2116 Douglasville, TX 75560

    Ordinance Info: Douglassville Volunteer Fire Dept. Resolution

Subtotal $750.00
Total Due $750.00


Updated
January 9, 2024 @ 3:37 pm

Invoice updated by Geoffrey.

Status Update
January 9, 2024 @ 3:37 pm

Status changed: Draft to Pending.