Bill To:

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

Services Rendered To:

Ahmed Ali
430 Buckingham Rd
Richardson, TX 75081
POLICY# 960294913


Product
Price
Qty
Amount

  1. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  3. 206 Latex Gloves (Pairs Used)

    $2.00
    6
    $12.00

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 226 Southbound on Interstate 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $562.00
Total Due $562.00


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
September 19, 2022 @ 4:32 pm

Invoice updated by Geoffrey.

Status Update
September 19, 2022 @ 4:32 pm

Status changed: Draft to Pending.