Bill To:

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

Services Rendered To:

4S Cattle
101 County Road 460
Coupland, Texas 788615
PH # 402-952-0507
CLAIM # 521M71196


Product
Price
Qty
Amount

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

    $150.00
    8.5
    $1,275.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    8.5
    $1,275.00

  3. 103 Rescue Response (Per Hour)

    $300.00
    8.5
    $2,550.00

  4. 102 Engine Response (Per Hour)

    $350.00
    8.5
    $2,975.00

  5. 105 Utility Vehicle Response (Per Hour)

    $150.00
    8.5
    $1,275.00

  6. 102 Engine Response (Per Hour)

    $350.00
    8.5
    $2,975.00

  7. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  8. 204 Flare (# Used)

    $8.00
    3
    $24.00

  9. 310 Hydraulic Tool (# Used)

    $200.00
    4
    $800.00

  10. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00

  11. 309 Power Tool (# Used)

    $50.00
    2
    $100.00

  12. 404 Scene Lighting (Per Hour)

    $75.00
    8.5
    $637.50

  13. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    8.5
    $850.00

    14. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 6 Near Delmar Ranch Road - Valley Mills, Texas

Subtotal $15,031.50
Total Due $15,031.50


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
September 3, 2021 @ 7:07 pm

Invoice updated by Geoffrey.

Updated
May 17, 2022 @ 5:00 pm

Invoice updated by Geoffrey.

Updated
August 10, 2022 @ 4:08 pm

Invoice updated by Geoffrey.