Bill To:

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

Services Rendered To:

Michael Wheeler
356 County Rd 3411
Pittsburg, TX 75686
POLICY# 966713073


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

  2. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00

  3. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.25
    $187.50

  4. 314 Cribbing – Lvl 1 (Passenger Vehicle) (Used)

    $100.00
    1
    $100.00

  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  6. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

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

    $100.00
    1.25
    $125.00

  8. 326 Safety Fest (# Used)

    $2.50
    4
    $10.00

  9. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  10. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    11. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Hwy 80 & Pelphrey Dr- Clarksville City, TX

Subtotal $1,758.00
Total Due $1,758.00


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 23, 2023 @ 10:43 am

Invoice updated by Geoffrey.

Status Update
June 23, 2023 @ 10:43 am

Status changed: Draft to Pending.