Bill To:

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

Services Rendered To:

Ashley McCreary
7000 W. IH 30, Apt. 428
Royse City, TX 75189
POLICY # 944999673


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. 215 Trauma Kit (# Used)

    $25.00
    1
    $25.00

  6. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 2755 - Lavon, Texas

    Ordinance Info: City of Lavon Resolution NO. 2020-03-01

Subtotal $762.00
Total Due $762.00


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
July 25, 2022 @ 5:37 pm

Invoice updated by Geoffrey.

Status Update
July 25, 2022 @ 5:37 pm

Status changed: Draft to Pending.

Updated
July 25, 2022 @ 5:38 pm

Invoice updated by Geoffrey.