Bill To:


PROGRESSIVE INSURANCE, TX
1045 Wisterwood Dr.
Houston, TX 77043

Services Rendered To:


Demictrick Jacobs
254 C.R. 2482
Marietta, Texas 75566
Policy # 943847593


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

    $350.00
    3.25
    $1,137.50
  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    3.25
    $487.50
  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    3.25
    $487.50
  4. 302 Hand Light (# Used)

    $5.00
    2
    $10.00
  5. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00
  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00
  7. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00
  8. 390 Winch

    $50.00
    1
    $50.00

  9. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Highway 87 and East Street - Douglassville, Texas

Subtotal $2,652.50
Total Due $2,652.50
Updated
December 28, 2020 @ 1:53 pm

Invoice updated by Geoffrey.

Status Update
December 28, 2020 @ 1:53 pm

Status changed: Draft to Pending.