Bill To:

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

Services Rendered To:

Krisit Duckett
507 Hickory St Lot 13
Queen City, TX 75572
POLICY# 967165282


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $250.00
    2
    $500.00

  2. 103 Rescue Response (Per Hour)

    $400.00
    2
    $800.00

  3. 302 Hand Light (# Used)

    $5.00
    1
    $5.00

  4. 205 Foam (Per Gallon)

    $65.00
    1
    $65.00

  5. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  6. 419 Environmental Spill

    $250.00
    1
    $250.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 2232 CR- Douglasville, TX

    Ordinance Info: Douglassville Volunteer Fire Dept. Resolution

Subtotal $1,655.00
Total Due $1,655.00


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
August 21, 2023 @ 3:47 pm

Invoice updated by Geoffrey.

Status Update
August 21, 2023 @ 3:47 pm

Status changed: Draft to Pending.