Bill To:

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

Services Rendered To:

Amber Fernandez
1705 Fidelity Street
Houston, Texas 77029
Policy # 952819898


Product
Price
Qty
Amount

  1. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  2. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  3. 301 Hand Tool (# Used)

    $15.00
    1
    $15.00

  4. 404 Scene Lighting (Per Hour)

    $75.00
    1
    $75.00

    5. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Highway 226 Southbound / Interstate 45 - Angus, Texas

    Ordinance Info: City of Angus Billing Authorization # 7

Subtotal $398.00
Total Due $398.00


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 28, 2021 @ 8:42 pm

Invoice updated by Geoffrey.

Status Update
December 28, 2021 @ 8:42 pm

Status changed: Draft to Pending.