Bill To:


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

Services Rendered To:


Rindy Faxon
1808 West Franklin
Shawnee, OK 74804
Policy # 945921603


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

    Unit # 1751

    $250.00
    1.5
    $375.00
  2. 105 Utility Vehicle Response (Per Hour)

    Unit # 1753

    $250.00
    1.5
    $375.00
  3. 105 Utility Vehicle Response (Per Hour)

    Unit # 1755

    $250.00
    1.5
    $375.00

  4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 2.5 Miles West of 266/72 Junction on 266 - Council Hill, OK

Subtotal $1,125.00
Total Due $1,125.00


Updated
July 3, 2021 @ 3:43 pm

Invoice updated by Geoffrey.

Status Update
July 3, 2021 @ 3:43 pm

Status changed: Draft to Pending.

Viewed
August 7, 2021 @ 4:22 pm

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

Viewed
October 23, 2022 @ 2:39 am

Invoice viewed by 64.124.8.43 for the first time.