Bill To:

Progressive Insurance – Medical
P.O. Box 2930
Clinton, IA 52733-2930

Services Rendered To:

Linda Fey Windland
812 S Bonham St
Mexia, TX 76667
POLICY# 19284835


Product
Price
Qty
Amount

  1. 406 Medical Extrication – Lvl 2

    Patient

    Raford Lee Sterling
    163 LCR 377A
    Mexia, TX 76667

    $1,500.00
    1
    $1,500.00

    2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 14/ FM 641- Richland, TX

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,500.00
Total Due $1,500.00


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
November 16, 2023 @ 10:27 am

Invoice updated by Geoffrey.