Bill To:

Progressive County Mutual Insurance
6300 Wilson Mills Rd.
Mayfield, OH 44143

Services Rendered To:

Jesus Morales
3338 S. Greenpark Dr
Houston, TX 77082
POLICY# 06430864


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.75
    $612.50

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

    $100.00
    1.75
    $175.00

  3. 324 Traffic Cone (# Used)

    $5.00
    10
    $50.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 1994/ FM 361- Needville, TX

Subtotal $837.50
Total Due $837.50
Total Payments Received $837.50
Balance $0.00


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 18, 2022 @ 10:47 am

Invoice updated by Geoffrey.

Status Update
November 18, 2022 @ 10:47 am

Status changed: Draft to Pending.

Status Update
January 28, 2023 @ 4:13 pm

Status changed: Pending to Paid.

Payment
January 28, 2023 @ 9:13 pm

Admin Payment
Payment Total: $837.50