Bill To:

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

Services Rendered To:

Don Downard
License# HM5663
2016 Dodge Ram
Phone# 304-922-2805


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1.5
    $750.00

  2. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1.5
    $750.00

  3. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1.5
    $750.00

  4. 105 Utility Vehicle Response (Per Hour)

    $500.00
    1.5
    $750.00

  5. 102 Engine Response (Per Hour)

    $500.00
    1.5
    $750.00

  6. 102 Engine Response (Per Hour)

    $500.00
    1.5
    $750.00

  7. 104 Tanker Response (Per Hour)

    $500.00
    1.5
    $750.00

  8. 303 SCBA Breathing Apparatus (# Used)

    $50.00
    2
    $100.00

  9. 304 SCBA Cylinder (# Used)

    $25.00
    2
    $50.00

  10. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  11. 306 Hose Per 50′ (Amt Used)

    $25.00
    6
    $150.00

  12. 419 Environmental Spill

    $250.00
    1
    $250.00

    13. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: I-40 MM 255 WB- Checotah, OK

Subtotal $5,950.00
Total Due $5,950.00


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
May 11, 2023 @ 12:09 pm

Invoice updated by Geoffrey.

Status Update
May 11, 2023 @ 12:09 pm

Status changed: Draft to Pending.