Bill To:

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

Services Rendered To:

Policy# 94267995
Dorian Felder
18800 Lina St.
Dallas, TX, 75287


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 219 I-45 Exit, Richland, TX

Subtotal $1,150.00
Total Due $1,150.00

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 12, 2020 @ 2:21 pm

Invoice updated by Karen Smith.

Status Update
November 12, 2020 @ 2:21 pm

Status changed: Draft to Pending.