Bill To:

Progressive County Mutual Insurance
6300 Wilson Mills Rd.
Mayfield, OH 44143

Services Rendered To:

Grona Brooke
204 Tower Dr
Round Rock, TX 78664
POLICY# 923761958


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  4. 301 Hand Tool (# Used)

    $15.00
    4
    $60.00

  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  6. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  8. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  9. 419 Environmental Spill

    $250.00
    1
    $250.00

    10. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Toll Rd 45 East- Round Rock, TX

Subtotal $1,620.00
Total Due $1,620.00


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
June 12, 2023 @ 2:24 pm

Invoice updated by Geoffrey.

Status Update
June 12, 2023 @ 2:24 pm

Status changed: Draft to Pending.