Bill To:

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

Services Rendered To:

Robert Summerlin
507 Meadow Lane
Gore, OK 74435
Ph# 918-232-4601
Policy # 00805125


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 105 Utility Vehicle Response (Per Hour)

    $150.00
    1
    $150.00

  3. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  4. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  5. 803 Basic EMS Assistance (Response Fee)

    $250.00
    1
    $250.00

    6. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Interstate 40 @ MM 253 - Checotah

Subtotal $1,150.00
Total Due $1,150.00


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 4, 2021 @ 5:56 pm

Invoice updated by Geoffrey.

Status Update
March 4, 2021 @ 5:56 pm

Status changed: Draft to Pending.

Updated
March 4, 2021 @ 5:57 pm

Invoice updated by Geoffrey.

Updated
June 22, 2021 @ 3:20 pm

Invoice updated by Geoffrey.

Updated
June 22, 2021 @ 3:22 pm

Invoice updated by Geoffrey.