Bill To:

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

Services Rendered To:

Stephanie Lashun Roberson
170 Elm Grove Road
Valley View, Texas 76272
Policy # 946654278


Product
Price
Qty
Amount

  1. 206 Latex Gloves (Pairs Used)

    $2.00
    1
    $2.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1772 Thrasher Road - Callisburg, Texas

Subtotal $452.00
Total Due $452.00


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
June 22, 2021 @ 1:19 pm

Invoice updated by Geoffrey.