Bill To:

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

Services Rendered To:

Lola Triggs
410 Wisdom
Muskogee, OK 74422
Policy # 6292726


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    1.25
    $312.50

  2. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

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

    $100.00
    1.25
    $125.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 72 near EW 103 Road - Council Hill, OK

Subtotal $687.50
Total Due $687.50


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
May 16, 2021 @ 5:10 pm

Invoice updated by Geoffrey.

Status Update
May 16, 2021 @ 5:10 pm

Status changed: Draft to Pending.

Updated
May 16, 2021 @ 5:10 pm

Invoice updated by Geoffrey.