Bill To:

PROGRESSIVE INSURANCE, TX
1045 Wisterwood Dr.
Houston, TX 77043

Services Rendered To:

Lacey Pumel
1010 Foxwood Lane
Wylie, Texas 75098
Policy # 930865338


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00

  2. 106 Battalion/Chief Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00

  3. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00

  4. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1.5
    $225.00

  5. 218 Cervical Collar (# Used)

    $25.00
    1
    $25.00

  6. 314 Cribbing – Lvl 1 (Passenger Vehicle) (Used)

    $100.00
    4
    $400.00

  7. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  8. 310 Hydraulic Tool (# Used)

    $200.00
    2
    $400.00

  9. 206 Latex Gloves (Pairs Used)

    $2.00
    12
    $24.00

  10. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  11. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1.5
    $150.00

  12. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    13. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Lake road and Moore road - Lavon, Texas

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

Subtotal $2,729.00
Total Due $2,729.00

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
December 31, 2020 @ 3:44 pm

Invoice updated by Geoffrey.

Status Update
December 31, 2020 @ 3:44 pm

Status changed: Draft to Pending.