Bill To:

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

Services Rendered To:

Janelle Anderson
642 Green Country Drive
Tahlequah, OK 74464
Policy # 03890839


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    8
    $16.00

  4. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Indian Nation Turnpike and Canadian River - McIntosh County, OK

    Ordinance Info: SALEM-RYAL FIRE DEPT. RESOLUTION NO. 72821

Subtotal $496.00
Total Due $496.00


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
August 26, 2021 @ 7:58 pm

Invoice updated by Geoffrey.

Status Update
August 26, 2021 @ 7:58 pm

Status changed: Draft to Pending.