Bill To:


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

Services Rendered To:


Cathy Brown
101 River Park Drive
Kingsland, TX 78639
VIN # 1C4SJUBT2NS138171
POLICY # 941465599


Product
Price
Qty
Amount
  1. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00
  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00
  3. 408 Air Medical Landing Zone (Used)

    $250.00
    1
    $250.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 2859 and SE CR 3121 - Eureka, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $750.00
Total Due $750.00


Updated
July 18, 2022 @ 6:26 pm

Invoice updated by Geoffrey.

Status Update
July 18, 2022 @ 6:26 pm

Status changed: Draft to Pending.

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