Bill To:

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

Services Rendered To:

Rojas Jr Cipriano
1903 N Guadalupe St
Seguin, TX 78155
POLICY# 960465938


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 331 Air Bags (# Used)

    $150.00
    1
    $150.00

  3. 314 Cribbing – Lvl 1 (Passenger Vehicle) (Used)

    $100.00
    1
    $100.00

  4. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  5. 402 Fire/Police Services (Per Hour)    

    $100.00
    1
    $100.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Fm 1044- McQueeney, TX

    Ordinance Info: McQueeney Cost Recovery Resolution 4521

Subtotal $950.00
Total Due $950.00


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
February 6, 2023 @ 1:56 pm

Invoice updated by Geoffrey.

Status Update
February 6, 2023 @ 1:56 pm

Status changed: Draft to Pending.