Bill To:

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

Services Rendered To:

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


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $400.00
    1
    $400.00

  2. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00

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

    $100.00
    1
    $100.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    10
    $20.00

  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    6. Additional Incident Info

    Incident Type: MVA Response

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

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $1,170.00
Total Due $1,170.00


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 @ 10:24 am

Invoice updated by Geoffrey.

Status Update
November 16, 2023 @ 10:24 am

Status changed: Draft to Pending.