Bill To:

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

Services Rendered To:

Hershel Russell
180 Clemmer Court
Boyd, Texas 76023
Policy # 913070170


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00

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

    $150.00
    1
    $150.00

  3. 202 Oil Absorbent Sheet (# Used)

    $2.50
    1
    $2.50

  4. 203 Oil Boom (# Used)

    $20.00
    1
    $20.00

  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  6. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 14109 Liberty School Road - Azle, Texas

Subtotal $757.50
Total Due $757.50


Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.
Updated
November 23, 2021 @ 5:24 pm

Invoice updated by Geoffrey.

Status Update
November 23, 2021 @ 5:24 pm

Status changed: Draft to Pending.

Updated
November 23, 2021 @ 5:24 pm

Invoice updated by Geoffrey.