Bill To:

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

Services Rendered To:

Jose Guillen
415 Hill Street
Lavon, Texas 75166
Policy # 932537374


Product
Price
Qty
Amount

  1. 101 Aerial/Ladder Response (Per Hour)

    $400.00
    1
    $400.00

  2. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    3. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 78 & Highway 6 - Lavon, Texas

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

Subtotal $500.00
Total Due $500.00


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
October 31, 2021 @ 5:50 pm

Invoice updated by Geoffrey.

Status Update
October 31, 2021 @ 5:51 pm

Status changed: Draft to Pending.