Bill To:


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

Services Rendered To:


Mathew Bracket
641 Wading Bird Road
Camdenton, MO 64017
Policy # 926145875


Product
Price
Qty
Amount
  1. 105 Utility Vehicle Response (Per Hour)

    Unit # 814

    $500.00
    1.5
    $750.00
  2. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1.5
    $750.00
  3. 309 Power Tool (# Used)

    $50.00
    1
    $50.00
  4. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: MM 5.1 North Of BB Intersection - Eldridge, MO

Subtotal $1,558.00
Total Due $1,558.00


Updated
November 9, 2021 @ 4:07 pm

Invoice updated by Geoffrey.

Status Update
November 9, 2021 @ 4:07 pm

Status changed: Draft to Pending.

Updated
November 9, 2021 @ 4:07 pm

Invoice updated by Geoffrey.

Updated
November 9, 2021 @ 4:08 pm

Invoice updated by Geoffrey.

Updated
November 9, 2021 @ 4:09 pm

Invoice updated by Geoffrey.

Updated
November 9, 2021 @ 4:48 pm

Invoice updated by Geoffrey.