Bill To:

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

Services Rendered To:

Karina Garcia
712 North Avenue I
Clifton, Texas 76634
Policy # 944782058


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1.25
    $375.00

  2. 102 Engine Response (Per Hour)

    $350.00
    1.25
    $437.50

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

    $150.00
    1.25
    $187.50

  4. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00

  5. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  6. 206 Latex Gloves (Pairs Used)

    $2.00
    12
    $24.00

  7. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  8. 404 Scene Lighting (Per Hour)

    $75.00
    1.25
    $93.75

  9. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.25
    $125.00

  10. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    11. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: South Highway 6 just South of Compton Road - Crawford, Texas

Subtotal $1,802.75
Total Due $1,802.75


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
March 17, 2022 @ 12:32 pm

Invoice updated by Geoffrey.

Status Update
March 17, 2022 @ 12:32 pm

Status changed: Draft to Pending.

Updated
March 17, 2022 @ 12:32 pm

Invoice updated by Geoffrey.