Bill To:

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

Services Rendered To:

Jasmine Arriaga
510 1st Street
Sealy, Texas 77474
POLICY # 922343017


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1
    $250.00

  3. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00

  4. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 1458 @ I-10 South Feeder Road - San Felipe, Texas

Subtotal $780.00
Total Due $780.00


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 16, 2022 @ 4:01 pm

Invoice updated by Geoffrey.

Status Update
June 16, 2022 @ 4:01 pm

Status changed: Draft to Pending.