Bill To:

PROGRESSIVE INSURANCE, TX
1045 Wisterwood Dr.
Houston, TX 77043

Services Rendered To:

John Thomas
7230 Allyn Drive
Azle, Texas 76020
Policy # 945185083


Product
Price
Qty
Amount

  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  2. 104 Tanker Response (Per Hour)

    $300.00
    1
    $300.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  4. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00

  5. 202 Oil Absorbent Sheet (# Used)

    $2.50
    1
    $2.50

  6. 203 Oil Boom (# Used)

    $20.00
    1
    $20.00

  7. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  8. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

  9. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  10. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    11. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 14520 FM 730 North - Azle, Texas

    Ordinance Info: Briar-Reno Cost Recovery Amendment

Subtotal $1,292.50
Total Due $1,292.50


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 7, 2021 @ 6:55 pm

Invoice updated by Geoffrey.

Status Update
April 7, 2021 @ 6:55 pm

Status changed: Draft to Pending.

Updated
April 30, 2021 @ 4:20 pm

Invoice updated by Geoffrey.