Bill To:

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

Services Rendered To:

Vanessa Salverda
1407 SE 18th Street
Mineral Wells, TX 76067
Policy # 942568124


Product
Price
Qty
Amount

  1. 104 Tanker Response (Per Hour)

    $300.00
    1.25
    $375.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  3. 326 Safety Vest (# Used)

    $2.50
    2
    $5.00

    4. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: East Highway 199 East Bound - Azle, Texas

    Ordinance Info: Briar Reno Fire department - Bylaws Authorization for Cost Recovery

Subtotal $480.00
Total Due $480.00


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
December 9, 2020 @ 1:33 pm

Invoice updated by Geoffrey.

Status Update
December 9, 2020 @ 1:33 pm

Status changed: Draft to Pending.

Updated
December 9, 2020 @ 1:33 pm

Invoice updated by Geoffrey.

Updated
March 1, 2021 @ 5:38 pm

Invoice updated by Geoffrey.