Bill To:


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

Services Rendered To:


Matthew Pareoiuteply
2705 Harvard Drive
Rowlett, Texas 75088
POLICY # 920567661

Incident Table
Incident # Loss Date Invoice Date Terms Fire Dept
TX-CN-310-22-441-B 08/24/2022 09/02/2022 On Receipt Lavon V.F.D.

Product
Price
Qty
Amount
  1. 101 Aerial/Ladder Response (Per Hour)

    $400.00
    1
    $400.00
  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00
  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Highway 205 and State Highway 78 - Lavon, Texas

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

Subtotal $816.00
Total Due $816.00


Updated
September 2, 2022 @ 5:34 pm

Invoice updated by Geoffrey.

Viewed
October 8, 2022 @ 12:34 pm

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

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October 15, 2022 @ 1:58 pm

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

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October 23, 2022 @ 1:56 pm

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