Bill To:

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

Services Rendered To:

Roy Clarence
523 Fawn River Drive
Spring Branch, TX 78070
Policy # 953092688


Product
Price
Qty
Amount

  1. 106 Battalion/Chief Vehicle Response (Per Hour)

    Chief

    $150.00
    1
    $150.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

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

    Assistant Chief

    $150.00
    1
    $150.00

  4. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00

  6. 201 Oil Absorbent Material (# Used)

    $35.00
    5
    $175.00

  7. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 725 - McQueeney, Texas

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $1,225.00
Total Due $1,225.00


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
March 14, 2022 @ 4:07 pm

Invoice updated by Geoffrey.

Status Update
March 14, 2022 @ 4:07 pm

Status changed: Draft to Pending.