Bill To:

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

Services Rendered To:

Cathryn Sherrod
202 County Road 4860
Azle, Texas 76020
Policy # 916320131


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $300.00
    1.25
    $375.00

  2. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  4. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 1030 Arvel Circle - Azle, Texas

    Ordinance Info: Briar Reno Cost recovery Amendment

Subtotal $491.75
Total Due $491.75

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
December 1, 2020 @ 3:27 pm

Invoice updated by Geoffrey.

Status Update
December 1, 2020 @ 3:27 pm

Status changed: Draft to Pending.

Updated
December 1, 2020 @ 3:28 pm

Invoice updated by Geoffrey.