Bill To:

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

Services Rendered To:

Billy Osburn
4413 FM 1326
Dekalb, Texas 75559
Policy # 06090192-4


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    1.5
    $450.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00

  4. 309 Power Tool (# Used)

    $50.00
    4
    $200.00

  5. 327 Windshield Kit (# Used)

    $25.00
    1
    $25.00

  6. 310 Hydraulic Tool (# Used)

    $200.00
    3
    $600.00

  7. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Harrold Truck Stop - Vernon, Texas

    Ordinance Info: City of Electra Resolution NO. 2018-05

Subtotal $2,275.00
Total Due $2,275.00


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
April 22, 2022 @ 5:41 pm

Invoice updated by Geoffrey.

Status Update
April 22, 2022 @ 5:41 pm

Status changed: Draft to Pending.