Bill To:

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

Services Rendered To:

Olena Modleski
125 Archipelosa
Austin, TX 78717
POLICY#967290744


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  3. 301 Hand Tool (# Used)

    $15.00
    2
    $30.00

  4. 201 Oil Absorbent Material (# Used)

    $35.00
    1
    $35.00

  5. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 620 & Cornerwood- Round Rock, TX

Subtotal $765.00
Total Due $765.00


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
June 5, 2023 @ 11:19 am

Invoice updated by Geoffrey.

Status Update
June 5, 2023 @ 11:19 am

Status changed: Draft to Pending.

Updated
June 23, 2023 @ 3:31 pm

Invoice updated by Geoffrey.