Bill To:

Progressive Northwestern Insurance Company
6300 Wilson Mills Road
Cleveland, OH 44143

Services Rendered To:

Kaitlyn Sliger
2719 Lower Winfield Road
Waldron, AR 72958-5008
Policy # 32746801


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    Engine #1

    $350.00
    1.5
    $525.00

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

    Chief #2

    $150.00
    1.5
    $225.00

  3. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00

  4. 301 Hand Tool (# Used)

    $15.00
    3
    $45.00

  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  6. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  7. 409 Manpower (Per Hour)

    $20.00
    4
    $80.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: State Highway 8 and County Road 2125, Cass County Texas

Subtotal $1,340.00
Total Due $1,340.00

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 22, 2019 @ 11:12 am

Invoice updated by Karen Smith.

Status Update
November 22, 2019 @ 11:12 am

Status changed: Draft to Pending.

Updated
November 22, 2019 @ 11:13 am

Invoice updated by Karen Smith.

Updated
May 3, 2020 @ 2:06 pm

Invoice updated by Karen Smith.