Bill To:

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

Services Rendered To:

Zachary Shafer
Policy # 947737259


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00

  2. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  4. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 227 South Bound - Interstate Highway Service Road - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $533.00
Total Due $533.00


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
February 4, 2022 @ 11:20 am

Invoice updated by Geoffrey.

Status Update
February 4, 2022 @ 11:20 am

Status changed: Draft to Pending.